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Abstract

Spontaneous thrombosis in giant aneurysms is known, whereas complete occlusion of such aneurysms in a short period of time is rarely reported. We present the case of a 50-year-old man with a giant anuersym arising from the anterior communicating artery (ACA) producing significant mass effect with clinical consequences. The digital subtraction arteriogram (DSA) showed a patent lumen of about 20 mm and a very small neck leading to extremely slow blood flow inside the sac and stagnation of contrast. During catheterization for endovascular occlusion four weeks later, the arteriogram revealed complete disappearance of the aneurysm, while the patient remained clinically stable. The patient was operated upon and the thrombosed sac was removed with no complications. He was discharged one week later and recovered completely from his symptoms within three months.

Keywords

giant aneurysm thrombosis spontaneous occlusion surgery

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References

Rosta

Battaglia

: Italian cooperative study on giant intracranial aneurysms: Radiological data. Acta Neurochirurgica 42 (Suppl): 53–59, 1988.

Whittle

Williams

: Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery. J Neurosurg 56: 287–289, 1982.

Gerber

Sahel

: Complete spontaneous thrombosis of a giant intracranial aneurysm. Neuroradiology 36: 316–317, 1994.

Lyall

: Large aneurysm of the circle of Willis with spontaneous cure by thrombosis. Br J Med 2: 282, 1936.

Katayama

Tsubokawa

: Growth of totally thrombosed giant aneurysm within posterior cranial fossa. Neuroradiology 33: 168–170, 1991.

Choudhury

Al Amiri

: Giant middle cerebral aneurysm presenting as hemiathetosis. Child's Nerv Syst 7: 59–61, 1991.

Schubiger

Valavanis

Wichmann

: Growth mechanism of giant intracranial aneurysm: Demonstration by CT and MR imaging. Neuroradiology 29: 266–27 …, 1987.

Bull

JWD

: Massive aneurysms at the base of the brain: Brain 92: 535–570, 1969.

Benndorf

Wellnhofer

: Intra-aneurysmal flow: Evaluation with Doppler Guidewire-report of two cases. Am J Neuroradiol 17: 1333–1337, 1996.

10.

Black

German

: Observations of the relationship between the volume and the size of the orifice of the experimental aneurysms. J Neurosurg 17: 984–990, 1960.

11.

Seeger

Gabrielsen

: Carotid-cavernous sinus fistulas and venous thrombosis. Am J Neuroradiol 1: 141–148, 1980.

12.

Scott

Ballantine

Jr : Spontaneous thrombosis in a giant middle cerebral artery aneurysm. J Neurosurg 37: 361–363, 1972.

13.

Swearingen

Heros

: Fatal rupture of a thrombosed giant basilar artery aneurysm. Surg Neurol 23: 299–302, 1985.

14.

Hamburger

Schönberger

: Management and prognosis of intracranial giant aneurysms. A report on 58 cases. Neurosurg Rev 15: 97–103, 1992.

15.

Wiebers

Whiswnant

: The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66: 23–29, 1987.

16.

Jane

Kassell

: The natural history of aneurysms and arteriovenous malformations. J Neurosurg 62: 321–323, 1985.

17.

Heros

: Giant Aneurysms. In: Surgical management of neurovascular disease. In: Ojemann

Ogilvy

(eds): Williams & Wilkins, Baltimore 1995.

18.

Yasargil

: Anterior cerebral and anterior communicating arteries. In: Yasargil

(ed): Microneurosurgery. Thieme — Stratton, New York 1984.

19.

Drake

: Giant intracranial aneurysms experience with surgical treatment in 174 patients. Clin Neurosurg 26: 12–95, 1979.

20.

Hosobuchi

: Direct surgical treatment of giant aneurysms. J Neurosurg 51: 743–756, 1997.

21.

Batjer

Kopotnik

: Giant aneurysms. In: Wilkins

Renegachy

(eds): Neurosurgery. 2nd ed. McGraw-Hill, New York 1996.

Spontaneous Thrombosis of an Intracranial Giant Aneurysm

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