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Neoplastic cerebral aneurysm from metastatic lung adenocarcinoma associated with cerebral thrombosis and recurrent subarachnoid haemorrhage
  1. J GLIEMROTH,
  2. G NOWAK,
  3. U KEHLER,
  4. H ARNOLD
  1. Department of Neurosurgery
  2. Institute of Radiology, Medical University of Lübeck, Lübeck, Germany
  1. J Gliemroth, MD, Department of Neurosurgery, Medical University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
  1. C GAEBEL
  1. Department of Neurosurgery
  2. Institute of Radiology, Medical University of Lübeck, Lübeck, Germany
  1. J Gliemroth, MD, Department of Neurosurgery, Medical University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.

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  A 38 year old woman presented with a short history of headache, double vision, and rotatory vertigo. Medical history was negative except years of nicotine misuse. Cranial MRI disclosed a large infarction in the area supplied by the left posterior inferior cerebellar artery (PICA).

Occlusion of the left vertebral artery was confirmed by MR angiography.

Five months later, she was again admitted with headache, vomitus, and marked meningism. Cranial CT …

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