We report a rare case of spontaneous total thrombosis of a giant basilar tip aneurysm resulting in compression of the brainstem, diagnosed in a two-year-old child who presented with neurological deficits and third cranial nerve impairment. After conservative treatment, the giant aneurysm was completely thrombosed and the clinical symptoms were remarkably improved. MRI demonstrated dramatic shrinkage and ultimately complete disappearance of the giant aneurysm at seven month follow-up.
FirstMMCekirgeS: Guglielmi detachable coil treatment of a partially thrombosed giant basilar artery aneurysm in a child. Neuroradiology42: 142–144, 2000.
4.
AtkinsonJLDLaneJI: Spontaneous thrombosis of posterior cerebral artery aneurysm with angiographic reappearance. J Neurosurg79: 434–437, 1993.
5.
FukuokaSSuematsuK: Completely thrombosed giant aneurysm of the angular artery. Sur Neurol22: 145–148, 1984.
DeLucaGPVolpinL: Spontaneous healing of cerebral aneurysm at the beginning of left posterior inferior cerebellar artery (PICA). J Neurosurgical sciences42: 115–117, 1998.
8.
DavilaSBartolomeO: Spontaneous thrombosis of an intracranial aneurysm. Surg Neurol22: 29–32, 1984.
9.
WarschewskeGBenndorfG: Spontaneous thrombosis of an intracranial giant aneurysm. Interventional Neuroradiology5: 327–332, 1999.
10.
WhittleIRWilliamsDB: Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery. J Neurosurg56: 287–289, 1982.
11.
BlackSPWGermanWJ: Observations on the relationship between the volume and the size of the orifice of the experimental aneurysm. J Neurosurg17: 984–990, 1960.
12.
StehbensWE: Hemodynamics and the blood vessel wall. Thomas, Springfield IL1979: 465–515.
13.
SchubigerOValavanisAWichmannW: Growth mechanism of giant intracranial aneurysm; demonstration by CT and MRI. Neuroradiology29: 266–271, 1987.
14.
LingFZhandH: The role of controlled anticoagulation in balloon occluding vertebral arteries to treat giant fusiform aneurysms of the basilar artery. Interventional Radiology5: 145–150, 1999.
15.
LasjauniasPLCampiA: Aneurysmal disease in children: Review of 20 cases with intracranial arterial localisations. Interventional Neuroradiology3: 215–229, 1997.
