Thrombosis, growth, recanalization, and rupture of a saccular, non-giant cerebral aneurysm.
A partly thrombosed, saccular, non-giant left internal carotid artery aneurysm was discovered during an evaluation for headaches in a 75-year-old woman. A mirror-image aneurysm of the right internal carotid artery was also found. During the course of about a year, the left-sided aneurysm thrombosed, grew to giant proportions, recanalized, and ruptured. During this same time, the right-sided aneurysm remained unchanged in size or shape. Even a saccular, non-giant, thrombosed aneurysm can be potentially dangerous. Such an aneurysm requires careful monitoring. If clinically appropriate, aneurysm treatment is indicated.
Pritz
Michael B
MB
Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202-5124, USA. mpritz@iupui.edu
D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D002341:Carotid Artery Thrombosis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D002343:Carotid Artery, Internal / Q000473:pathology*; D002533:Cerebral Angiography; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D006261:Headache / Q000209:etiology / Q000473:pathology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000473:pathology / Q000628:therapy; D018810:Magnetic Resonance Angiography; D013997:Time Factors; D014057:Tomography, X-Ray Computed