Spontaneous Disappearance of a Ruptured Intracranial Aneurysm
Spontaneous Disappearance of a Ruptured Intracranial Aneurysm作者机构：Department of Neurosurgery Teaching Hospital of Bouaké Bouaké Cô te d’Ivoire Department of Neurosurgery Teaching Hospital of Yopougon Abidjan Cô te d’Ivoire
出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)
年 卷 期：2019年第9卷第2期
页 面：164-171页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Intracranial Aneurysm Subarachnoid Hemorrhage Cerebral Angiography Spontaneous Thrombosis
摘 要：The spontaneous disappearance of a ruptured intracranial aneurysm is unusual and its mechanism remains incompletely understood. However, several hypotheses are put forward and are mostly found in Virchow’s triad. We report the case of a man who suffered subarachnoid hemorrhage by rupture of a blister aneurysm of the P1 segment of the left posterior cerebral artery. A control arteriography performed one week after the rupture showed a disappearance of the aneurysm and a significant vasospasm of the carrier artery. Angiograms performed at 3 weeks and 3 months confirmed this disappearance of the aneurysm and a return to normal artery size. Clinically the patient was doing well. Therefore his aneurysm was spontaneously declared cured. Several studies are needed to clarify the natural history of spontaneously thrombosed aneurysms and elucidate their occurrence mechanism in order to improve the management of intracranial aneurysmal pathology.
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