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Blood Blister-Like Aneurysm
Anne G. Osborn, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Blood blister-like aneurysm (BBA)
              • Synonyms

                • Dorsal wall internal carotid artery (ICA) aneurysm
              • Definitions

                • Sessile, broad-based bulge at nonbranch point
                  • Dorsal supraclinoid ICA > > middle cerebral artery (MCA), anterior carotid artery (ACA), basilar artery

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Park KY et al: Efficacy and safety of flow-diverter therapy for recurrent aneurysms after stent-assisted coiling. AJNR Am J Neuroradiol. 41(4):663-8, 2020
                                          2. Fang Y et al: Treatment of blood blister-like aneurysms with stent-assisted coiling: a retrospective multicenter study. World Neurosurg. 126:e486-91, 2019
                                          3. Hanihara M et al: Long-term clinical and angiographic outcomes of wrap-clipping for ruptured blood blister-like aneurysms of the internal carotid artery using advanced monitoring. World Neurosurg. 126:e439-46, 2019
                                          4. Meling TR et al: Clip-wrapping of ruptured blood blister-like aneurysms of the internal carotid artery. Neurosurg Rev. ePub, 2019
                                          5. Zhao Y et al: Comparison of radiological and clinical characteristics between blood blister-like aneurysms (BBAs) and non-blister aneurysms at the supraclinoid segment of internal carotid artery. Neurosurg Rev. 42(2):549-57, 2019
                                          6. Lee SU et al: Pathogenesis of dorsal internal carotid artery wall aneurysms based on histopathologic examination and microscopic configuration. J Clin Neurosci. 58:181-6, 2018
                                          7. Mitobe Y et al: [Magnetic resonance vessel wall imaging reveals a ruptured blood blister-like aneurysm: a case report.] No Shinkei Geka. 46(12):1087-91, 2018
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Blood blister-like aneurysm (BBA)
                                                      • Synonyms

                                                        • Dorsal wall internal carotid artery (ICA) aneurysm
                                                      • Definitions

                                                        • Sessile, broad-based bulge at nonbranch point
                                                          • Dorsal supraclinoid ICA > > middle cerebral artery (MCA), anterior carotid artery (ACA), basilar artery

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Park KY et al: Efficacy and safety of flow-diverter therapy for recurrent aneurysms after stent-assisted coiling. AJNR Am J Neuroradiol. 41(4):663-8, 2020
                                                                                  2. Fang Y et al: Treatment of blood blister-like aneurysms with stent-assisted coiling: a retrospective multicenter study. World Neurosurg. 126:e486-91, 2019
                                                                                  3. Hanihara M et al: Long-term clinical and angiographic outcomes of wrap-clipping for ruptured blood blister-like aneurysms of the internal carotid artery using advanced monitoring. World Neurosurg. 126:e439-46, 2019
                                                                                  4. Meling TR et al: Clip-wrapping of ruptured blood blister-like aneurysms of the internal carotid artery. Neurosurg Rev. ePub, 2019
                                                                                  5. Zhao Y et al: Comparison of radiological and clinical characteristics between blood blister-like aneurysms (BBAs) and non-blister aneurysms at the supraclinoid segment of internal carotid artery. Neurosurg Rev. 42(2):549-57, 2019
                                                                                  6. Lee SU et al: Pathogenesis of dorsal internal carotid artery wall aneurysms based on histopathologic examination and microscopic configuration. J Clin Neurosci. 58:181-6, 2018
                                                                                  7. Mitobe Y et al: [Magnetic resonance vessel wall imaging reveals a ruptured blood blister-like aneurysm: a case report.] No Shinkei Geka. 46(12):1087-91, 2018