Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery

Case report

Ian R. Whittle M.B., B.S.1, David B. Williams M.B., B.S.1, G. Michael Halmagyi F.R.A.C.P.1, and Michael Besser F.R.C.S.(C), F.R.A.C.S.1
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  • 1 Departments of Neurology and Neurosurgery, Royal Prince Alfred Hospital, Sydney, Australia
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✓ Computerized tomography revealed a thrombosed giant intracavernous carotid aneurysm in a man who presented with ophthalmoplegia and headache. Angiography confirmed complete aneurysmal thrombosis and also revealed complete occlusion of the ipsilateral internal carotid artery. Aneurysmotomy and thrombectomy produced substantial reduction in mass effect, with symptomatic improvement. The spontaneous thrombosis of giant intracranial aneurysms is discussed.

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