# Anterior Cerebral Artery and Middle Cerebral Artery Stroke in the Setting of Multiple Fusiform Aneurysms and Vertebrobasilar Dolichoectasia

## TL;DR

This paper presents a rare case of stroke caused by multiple fusiform aneurysms and vertebral artery abnormalities, highlighting the challenges in diagnosis and treatment.

## Contribution

The paper contributes a unique case of multiple fusiform aneurysms in the anterior cerebral arteries, a rare clinical scenario.

## Key findings

- The patient had stroke symptoms due to multiple fusiform aneurysms in the anterior and middle cerebral arteries.
- Dolichoectasia in the vertebral basilar artery was also identified as a contributing factor.
- The case emphasizes the need for improved diagnostic and treatment strategies for this rare condition.

## Abstract

We present a case of stroke in the setting of multiple fusiform aneurysms. This case is unique in several ways and highlights the risks, concerns, and treatment options of this lesser-known vascular disease. Fusiform aneurysms are an uncommon subtype of intracranial aneurysms compared to the traditional saccular type. Rarer is the prevalence of multiple fusiform aneurysms in one patient and in the anterior distribution. This case involves a 51-year-old man presenting with stroke-type symptoms and a moderate National Institutes of Health Stroke Scale score. Extensive radiographic testing demonstrated multifocal areas of restricted diffusion along the anterior cerebral and posterior middle cerebral artery distribution. Additionally, multiple fusiform aneurysms in the middle cerebral and anterior cerebral arteries were found, as well as a dolichoectasia in the vertebral basilar artery. This case will further elucidate the definition, diagnostic approach, and treatment modalities of fusiform aneurysms.