Complete asymptomatic thrombosis and resorption of a congenital giant intracranial aneurysm

Case report

View More View Less
  • 1 Departments of Neuroradiology and Neuropediatrics, University of Tübingen; and Department of Neuroradiology, University of Lübeck, Germany
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓ Intracranial aneurysms in infants are rare, but are associated with a high risk of rupture and subarachnoid hemorrhage. The authors report a case of an incidentally diagnosed, probably congenital, asymptomatic giant aneurysm of the posterior communicating artery in a 9-month-old girl, which completely thrombosed following a diagnostic superselective angiography without any neuropathological incident. Follow-up magnetic resonance imaging revealed that the aneurysm decreased further in size and was largely resorbed within 3 years after the initial finding. In single cases the natural history of congenital giant aneurysms may be better than previously assumed.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1.

    Allison JW, , Davis PC, & Sato Y, et al: Intracranial aneurysms in infants and children. Pediatr Radiol 28:223229, 1998 Allison JW, Davis PC, Sato Y, et al: Intracranial aneurysms in infants and children. Pediatr Radiol 28:223–229, 1998

    • Search Google Scholar
    • Export Citation
  • 2.

    Black SPW, & German WJ: Observations on the relationship between the volume and the size of the orifice of experimental aneurysms. J Neurosurg 17:984990, 1960 Black SPW, German WJ: Observations on the relationship between the volume and the size of the orifice of experimental aneurysms. J Neurosurg 17:984–990, 1960

    • Search Google Scholar
    • Export Citation
  • 3.

    Brocheler J, & Thron A: Intracranial arterial aneurysms in children. Clinical, neuroradiological and histological findings. Neurosurg Rev 13:309313, 1990 Brocheler J, Thron A: Intracranial arterial aneurysms in children. Clinical, neuroradiological and histological findings. Neurosurg Rev 13:309–313, 1990

    • Search Google Scholar
    • Export Citation
  • 4.

    Carlson DH, & Thomson D: Spontaneous thrombosis of a giant cerebral aneurysm in five days. Report of a case. Neurology 26:334336, 1976 Carlson DH, Thomson D: Spontaneous thrombosis of a giant cerebral aneurysm in five days. Report of a case. Neurology 26:334–336, 1976

    • Search Google Scholar
    • Export Citation
  • 5.

    de Sousa AA, , Dantas FL, & Neto AP, et al: Giant posterior cerebral artery aneurysm in a 4-year-old child: case report. Surg Neurol 45:3135, 1996 de Sousa AA, Dantas FL, Neto AP, et al: Giant posterior cerebral artery aneurysm in a 4-year-old child: case report. Surg Neurol 45:31–35, 1996

    • Search Google Scholar
    • Export Citation
  • 6.

    Fulmer BB, , Dillard SC, & Musulman EM, et al: Two cases of cerebral aneurysms in HIV+ children. Pediatr Neurosurg 28:3134, 1998 Fulmer BB, Dillard SC, Musulman EM, et al: Two cases of cerebral aneurysms in HIV+ children. Pediatr Neurosurg 28:31–34, 1998

    • Search Google Scholar
    • Export Citation
  • 7.

    Gerber S, , Dormont D, & Sahel M, et al: Complete spontaneous thrombosis of a giant intracranial aneurysm. Neuroradiology 36:316317, 1994 Gerber S, Dormont D, Sahel M, et al: Complete spontaneous thrombosis of a giant intracranial aneurysm. Neuroradiology 36:316–317, 1994

    • Search Google Scholar
    • Export Citation
  • 8.

    Herman JM, , Rekate HL, & Spetzler RF: Pediatric intracranial aneurysms: simple and complex cases. Pediatr Neurosurg 17:6673, 1991/1992 Herman JM, Rekate HL, Spetzler RF: Pediatric intracranial aneurysms: simple and complex cases. Pediatr Neurosurg 17:66–73, 1991/1992

    • Search Google Scholar
    • Export Citation
  • 9.

    Hulsmann S, , Moskopp D, & Wassmann H: Management of a ruptured cerebral aneurysm in infancy. Report of a case of a ten-month-old boy. Neurosurg Rev 21:161166, 1998 Hulsmann S, Moskopp D, Wassmann H: Management of a ruptured cerebral aneurysm in infancy. Report of a case of a ten-month-old boy. Neurosurg Rev 21:161–166, 1998

    • Search Google Scholar
    • Export Citation
  • 10.

    The International Study of Unruptured Intracranial Aneurysms Investigators: Unruptured intracranial aneurysms—risk of rupture and risks of surgical intervention. N Engl J Med 339:17251733, 1998 The International Study of Unruptured Intracranial Aneurysms Investigators: Unruptured intracranial aneurysms—risk of rupture and risks of surgical intervention. N Engl J Med 339:1725–1733, 1998

    • Search Google Scholar
    • Export Citation
  • 11.

    Kanaan I, , Lasjaunias P, & Coates R: The spectrum of intracranial aneurysms in pediatrics. Minim Invasive Neurosurg 38:19, 1995 Kanaan I, Lasjaunias P, Coates R: The spectrum of intracranial aneurysms in pediatrics. Minim Invasive Neurosurg 38:1–9, 1995

    • Search Google Scholar
    • Export Citation
  • 12.

    Lasjaunias P: Vascular Diseases in Neonates, Infants and Children. Berlin: Springer-Verlag, 1997 Lasjaunias P: Vascular Diseases in Neonates, Infants and Children. Berlin: Springer-Verlag, 1997

    • Search Google Scholar
    • Export Citation
  • 13.

    Loevner LA, , Ting TY, & Hurst RW, et al: Spontaneous thrombosis of a basilar artery traumatic aneurysm in a child. AJNR 19:386388, 1998 Loevner LA, Ting TY, Hurst RW, et al: Spontaneous thrombosis of a basilar artery traumatic aneurysm in a child. AJNR 19:386–388, 1998

    • Search Google Scholar
    • Export Citation
  • 14.

    Nishio A, , Sakaguchi M, & Murata K, et al: Anterior communicating artery aneurysm in early childhood. Report of a case. Surg Neurol 35:224229, 1991 Nishio A, Sakaguchi M, Murata K, et al: Anterior communicating artery aneurysm in early childhood. Report of a case. Surg Neurol 35:224–229, 1991

    • Search Google Scholar
    • Export Citation
  • 15.

    O'Neill M, , Hope T, & Thomson G: Giant intracranial aneurysms: diagnosis with special reference to computerised tomography. Clin Radiol 31:2739, 1980 O'Neill M, Hope T, Thomson G: Giant intracranial aneurysms: diagnosis with special reference to computerised tomography. Clin Radiol 31:27–39, 1980

    • Search Google Scholar
    • Export Citation
  • 16.

    Osenbach RK: Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus. Pediatr Neurosci 15:309312, 1989 Osenbach RK: Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus. Pediatr Neurosci 15:309–312, 1989

    • Search Google Scholar
    • Export Citation
  • 17.

    Schoning M, , Grunert D, & Hassler W, et al: Demonstration of giant MCA aneurysm by transcranial duplex sonography and color Doppler imaging. Childs Nerv Syst 9:110114, 1993 Schoning M, Grunert D, Hassler W, et al: Demonstration of giant MCA aneurysm by transcranial duplex sonography and color Doppler imaging. Childs Nerv Syst 9:110–114, 1993

    • Search Google Scholar
    • Export Citation
  • 18.

    Scott RM, & Ballantine HT Jr: Spontaneous thrombosis in a giant middle cerebral artery aneurysm. Case report. J Neurosurg 37:361363, 1972 Scott RM, Ballantine HT Jr: Spontaneous thrombosis in a giant middle cerebral artery aneurysm. Case report. J Neurosurg 37:361–363, 1972

    • Search Google Scholar
    • Export Citation
  • 19.

    Sindou M, , Keravel Y, & Debrun G, et al: Les anevrysmes geants intracraniens. Approches therapeutiques. Neurochirurgie 30 (Suppl 1):1128, 1984 Sindou M, Keravel Y, Debrun G, et al: Les anevrysmes geants intracraniens. Approches therapeutiques.Neurochirurgie 30 (Suppl 1):1–128, 1984

    • Search Google Scholar
    • Export Citation
  • 20.

    Tanabe M, , Inoue Y, & Hori T: Spontaneous thrombosis of an aneurysm of the middle cerebral artery with subarachnoid haemorrhage in a 6-year-old child: case report. Neurol Res 13:202204, 1991 Tanabe M, Inoue Y, Hori T: Spontaneous thrombosis of an aneurysm of the middle cerebral artery with subarachnoid haemorrhage in a 6-year-old child: case report. Neurol Res 13:202–204, 1991

    • Search Google Scholar
    • Export Citation
  • 21.

    terBrugge KG: Neurointerventional procedures in the pediatric age group. Childs Nerv Syst 15:751754, 1999 terBrugge KG: Neurointerventional procedures in the pediatric age group. Childs Nerv Syst 15:751–754, 1999

    • Search Google Scholar
    • Export Citation
  • 22.

    Wardlaw JM, & White PM: The detection and management of unruptured intracranial aneurysms. Brain 123:205221, 2000 Wardlaw JM, White PM: The detection and management of unruptured intracranial aneurysms. Brain 123:205–221, 2000

    • Search Google Scholar
    • Export Citation
  • 23.

    Whittle IR, , Dorsch NW, & Besser M: Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 45:10401047, 1982 Whittle IR, Dorsch NW, Besser M: Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 45:1040–1047, 1982

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 339 119 7
Full Text Views 113 7 1
PDF Downloads 93 7 1
EPUB Downloads 0 0 0