Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Thrombosis and Recanalization of Small Saccular Cerebral Aneurysm : Two Case Reports and a Suggestion for Possible Mechanism

  • Kim, Hyung Jun (Department of Neurosurgery, Eulji University, Eulji Hospital) ;
  • Kim, Jae Hoon (Department of Neurosurgery, Eulji University, Eulji Hospital) ;
  • Kim, Duk Ryung (Department of Neurosurgery, Eulji University, Eulji Hospital) ;
  • Kang, Hee In (Department of Neurosurgery, Eulji University, Eulji Hospital)
  • Received : 2013.10.04
  • Accepted : 2014.05.15
  • Published : 2014.05.28
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Abstract

Reports of thrombosis and recanalization of cerebral aneurysm are rare. We report two cases of small, saccular aneurysms in which spontaneous thrombosis had occurred during the preparation for endovascular coiling. Also, we review reported cases and propose the presumed pathogenesis.

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References

  1. Black SP, German WJ : Observations on the relationship between the volume and the size of the orifice of experimental aneurysms. J Neurosurg 17 : 984-990, 1960 https://doi.org/10.3171/jns.1960.17.6.0984
  2. Bohmfalk GL, Story JL : Intermittent appearance of a ruptured cerebral aneurysm on sequential angiograms. Case report. J Neurosurg 52 : 263-265, 1980 https://doi.org/10.3171/jns.1980.52.2.0263
  3. Brownlee RD, Tranmer BI, Sevick RJ, Karmy G, Curry BJ : Spontaneous thrombosis of an unruptured anterior communicating artery aneurysm. An unusual cause of ischemic stroke. Stroke 26 : 1945-1949, 1995 https://doi.org/10.1161/01.STR.26.10.1945
  4. Choi CY, Han SR, Yee GT, Lee CH : Spontaneous regression of an unruptured and non-giant intracranial aneurysm. J Korean Neurosurg Soc 52 : 243-245, 2012 https://doi.org/10.3340/jkns.2012.52.3.243
  5. Cohen JE, Itshayek E, Gomori JM, Grigoriadis S, Raphaeli G, Spektor S, et al. : Spontaneous thrombosis of cerebral aneurysms presenting with ischemic stroke. J Neurol Sci 254 : 95-98, 2007 https://doi.org/10.1016/j.jns.2006.12.008
  6. Cohen JE, Rajz G, Umansky F, Spektor S : Thrombosis and recanalization of symptomatic nongiant saccular aneurysm. Neurol Res 25 : 857-859, 2003 https://doi.org/10.1179/016164103771953961
  7. Edner G, Forster DM, Steiner L, Bergvall U : Spontaneous healing of intracranial aneurysms after subarachnoid hemorrhage. Case report. J Neurosurg 48 : 450-454, 1978 https://doi.org/10.3171/jns.1978.48.3.0450
  8. Fareed J, Walenga JM, Saravia GE, Moncada RM : Thrombogenic potential of nonionic contrast media? Radiology 174 : 321-325, 1990 https://doi.org/10.1148/radiology.174.2.2296640
  9. Greenberg E, Janardhan V, Katz JM, Riina H, Zimmerman R, Gobin YP : Disappearance and reappearance of a cerebral aneurysm : a case report. Surg Neurol 67 : 186-188; discussion 188-189, 2007 https://doi.org/10.1016/j.surneu.2006.04.017
  10. Hamilton MG, Dold ON : Spontaneous disappearance of an intracranial aneurysm after subarachnoid hemorrhage. Can J Neurol Sci 19 : 389-391, 1992
  11. Hans FJ, Krings T, Reinges MH, Mull M : Spontaneous regression of two supraophthalmic internal cerebral artery aneurysms following flow pattern alteration. Neuroradiology 46 : 469-473, 2004
  12. Hassan F, Taschner CA, Thines L, Lejeune JP, Pruvo JP, Leclerc X : Spontaneous thrombosis of a recurrent clipped intracranial aneurysm. J Neuroradiol 36 : 153-157, 2009 https://doi.org/10.1016/j.neurad.2008.11.004
  13. Jayakumar PN, Ravishankar S, Balasubramaya KS, Chavan R, Goyal G : Disappearing saccular intracranial aneurysms : do they really disappear? Interv Neuroradiol 13 : 247-254, 2007 https://doi.org/10.1177/159101990701300304
  14. Johnston SC, Dowd CF, Higashida RT, Lawton MT, Duckwiler GR, Gress DR, et al. : Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms : the Cerebral Aneurysm Rerupture After Treatment (CARAT) study. Stroke 39 : 120-125, 2008 https://doi.org/10.1161/STROKEAHA.107.495747
  15. Kim BJ, Kim JS, Jeon KD, Lee SI : Spontaneous complete occlusion of middle cerebral artery aneurysm : case report. J Cerebrovasc Endovasc Neurosurg 14 : 309-314, 2012 https://doi.org/10.7461/jcen.2012.14.4.309
  16. Lee KC, Joo JY, Lee KS, Shin YS : Recanalization of completely thrombosed giant aneurysm : case report. Surg Neurol 51 : 94-98, 1999 https://doi.org/10.1016/S0090-3019(97)00346-7
  17. Nakajima Y, Yoshimine T, Mori H, Nakamuta K, Fujimura I, Sakashita K, et al. : Spontaneous disappearance and reappearance of a ruptured cerebral aneurysm : one case found in a group of 33 consecutive patients with subarachnoid hemorrhage who underwent repeat angiography. Neurol Res 22 : 583-587, 2000 https://doi.org/10.1080/01616412.2000.11740723
  18. Nakau H, Nagatani H, Nakau R, Ametani T : Acute disappearance of ruptured aneurysm located near the origin of the superior cerebellar artery - case report - . Neurol Med Chir (Tokyo) 47 : 468-470, 2007 https://doi.org/10.2176/nmc.47.468
  19. Ohta H, Sakai N, Nagata I, Sakai H, Shindo A, Kikuchi H : Spontaneous total thrombosis of distal superior cerebellar artery aneurysm. Acta Neurochir (Wien) 143 : 837-842; discussion 842-843, 2001 https://doi.org/10.1007/s007010170039
  20. Spetzler RF, Winestock D, Newton HT, Boldrey EB : Disappearance and reappearance of cerebral aneurysm in serial arteriograms. Case report. J Neurosurg 41 : 508-510, 1974 https://doi.org/10.3171/jns.1974.41.4.0508
  21. Su TM, Hsu SW, Chen WF, Lee TC, Cheng CH : Acute thrombosis and recanalization of a ruptured anterior communicating artery aneurysm. J Clin Neurosci 16 : 1077-1079, 2009 https://doi.org/10.1016/j.jocn.2008.08.013
  22. Szajner M, Jargiello T, Trojanowski T, Szczerbo-Trojanowska M : Spontaneous thrombosis of the pseudoaneurysm of right SCA after an attempt at embolisation. A case report. Interv Neuroradiol 8 : 205-208, 2002 https://doi.org/10.1177/159101990200800214
  23. Wiebers DO, Whisnant JP, Huston J 3rd, Meissner I, Brown RD Jr, Piepgras DG, et al. : Unruptured intracranial aneurysms : natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362 : 103-110, 2003 https://doi.org/10.1016/S0140-6736(03)13860-3

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