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Spontaneous Disappearance of an Intracranial Aneurysm After Subarachnoid Hemorrhage

Published online by Cambridge University Press:  18 September 2015

Mark G. Hamilton*
Affiliation:
Department of Clinical Neurosciences, Division of Neurosurgery, Calgary General Hospital
Oliver N.R. Dold
Affiliation:
Department of Clinical Neurosciences, Division of Neurosurgery, Calgary General Hospital
*
Barrow Neurological Institute, 1350 West Thomas Road, Phoenix, Arizona, U.S.A., 85013
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Abstract:

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Spontaneous disappearance of an intracranial aneurysm after subarachnoid hemorrhage is an uncommon event and usually associated with severe cerebral vasospasm, giant aneurysms or the use of antifibrinolytics. We present a young woman who suffered a grade 5 subarachnoid hemorrhage with severe vasospasm caused by a small anterior communicating artery aneurysm. The patient underwent a slow recovery and two years later requested surgery. Angiography demonstrated complete disappearance of the aneurysm. The neurosurgeon should be aware that spontaneous thrombosis of cerebral aneurysms can occur and ensure that angiography is repeated when surgery is significantly delayed.

Type
Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1992

References

1.Weir, B.Aneurysms affecting the nervous system. Baltimore, Williams and Wilkins 1987: 219223.Google Scholar
2.Hunt, WE, Hess, RM.Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 1968; 28: 1419.CrossRefGoogle ScholarPubMed
3.Fischer, CM, Kistler, JP, Davis, JM.Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computed tomographic scanning. J Neurosurg 1980; 6: 19.CrossRefGoogle Scholar
4.Edner, G, Forster, DMC, Steiner, L, Bergvall, U.Spontaneous healing of intracranial aneurysms after subarachnoid hemorrhage. Case report. J Neurosurg 1978; 48: 450454.CrossRefGoogle ScholarPubMed
5.Fodstad, H, Lilequist, B, Schannong, M, Thulm, CA.Tranexamic acid in the preoperative management of ruptured intracranial aneurysms. Surg Neurol 1978; 10: 915.Google ScholarPubMed
6.Housepain, EM, Pool, JL.A systemic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital 1914 to 1956. J Neuropathol Exp Neurol 1958; 17: 409423.CrossRefGoogle Scholar
7.Bramwell, B.Two enormous intracranial aneurysms. Edinburgh Med J 1887; 32: 911922.Google Scholar
8.Fodstad, H, Liliequest, B.Spontaneous thrombosis of ruptured intracranial aneurysms during treatment with tranexamic acid (AMCA): report of three cases. Acta Neurochir (Wien) 1979; 49: 129144.CrossRefGoogle ScholarPubMed
9.Spallone, A, Peresedov, V, Kandel, E.Spontaneous cure of ruptured intracranial arterial aneurysms. Surg Neurol 1981; 16: 367370.CrossRefGoogle ScholarPubMed
10.Black, SPW, German, WJ.Observations on the relationship between the volume and the size of the orifice of experimental aneurysms. J Neurosurg 1960; 17: 984990.CrossRefGoogle ScholarPubMed
11.Roach, MR.A model study of why some intracranial aneurysms thrombose but others rupture. Stroke 1978; 9: 583587.CrossRefGoogle Scholar
12.Dandy, WE.Intracranial arterial aneurysms. New York, Comstock Publishing 1944; 4: 122.Google Scholar
13.Pool, JL, Potts, DG.Aneurysms and anteriovenous anomalies of the brain. New York, Harper & Row 1965.Google Scholar
14.Carlson, DH, Thomson, D.Spontaneous thrombosis of a giant cerebral aneurysm in five days. Report of a case. Neurology 1976; 26: 334336.Google ScholarPubMed
15.Whittle, JR, Dorsch, NW, Besser, M.Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 1982; 45: 10401047.CrossRefGoogle ScholarPubMed
16.Spetzler, RF, Winestock, D, Newton, HT, Boldrey, EB.Disappearance and reappearance of cerebral aneurysm in serial arteriograms. Case report. J Neurosurg 1974; 41: 508510.CrossRefGoogle ScholarPubMed
17.Dávila, S, Oliver, B, Molet, J, Bartumeus, F.Spontaneous thrombosis of an intracranial aneurysm. Surg Neurol 1984; 22: 2932.CrossRefGoogle ScholarPubMed
18.Jennett, B, Bond, M.Assessment of outcome after severe brain damage. A practical scale. Lancet 1975; 1: 480484.Google ScholarPubMed