Multiple cerebral aneurysms originating from previously resected cardiac. Rev. Ang. de Ciênc. da Saúde. 2021 Jul – Dez; 2 (2): 10-13

was normal except for the previous sequel monoplegia in the right upper limb. Vascular study was not done at that juncture, but echocardiogramreveals in left atrium a oval mass, pedunculated, adhered to the interatrial septum measuring 3.4 x 3.6 cm (Figure 1).

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Figure 1 – Initial echocardiogram reveals in left atrium a oval mass, pedunculated, adhered to the interatrialseptum measuring 3.4 x 3.6 cm.

Surgical resection was performed with complete resection and without postoperative complications, thepatient was discharged from the hospital a few weeks later asymptomatic.Two years later de patients complains of multiple episodes of tonic – clonic seizure, radiologic investigationwith CT and MRI reveals multiples lesions suggestive of fusiform aneurysms (Figure 2A-2B, diagnostic was confirmedby digital subtraction angiography (DSA) showing multiples distal small fusiform aneurysm four aneurysms ofmiddle cerebral artery M4 segment been the two largest lesions frontal and parietal 7 and 5 mm (figure 2C-D). Thepatient was submitted to radiosurgery with a single dose of 12 Gray in both lesions.Seizures was clinically controlled using valproic acid 500 mg twice a day.One-year DSA reveals control of the two irradiate lesions and new smalls and distal fusiform lesions (Fig. 2 E-F).

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Figure 2 – CT and MRI reveals multiples lesions suggestive of fusiform aneurisms (A) and (B), respectively. Digitalsubstration angiography (DSA) showing multiples distal small fusiform aneurysm four aneurysms of middle cerebral arteryM4 segment been the two largest lesions frontal and parietal 7 and 5 mm. (C) (D) One-year DSA reveals control of the twoirradiate lesions and new smalls and distal fusiform lesions (E) (F).

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