Thrombosis and spontaneous recanalization of a giant intracranial aneurysm: diagnostic and management pearls in a pediatric patient.
The authors present the case of a boy who was successfully managed through the spontaneous thrombosis of a cavernous internal carotid artery (ICA) aneurysm, the subsequent occlusion of the ICA, its recanalization, and ultimate endovascular sacrifice, using only two angiograms because of the diagnostic capability of CT angiography. Spontaneous recanalization of the ICA following occlusion in the setting of a giant aneurysm has not been previously reported.
Department of Neurosurgery, University of Pittsburgh Medical Center, and.
Ali
A
Kooshkabadi
Brian
B
Jankowitz
Phillip A
PA
Choi
Gregory M
GM
Weiner
Stephanie
S
Greene
D015901:Angiography, Digital Subtraction; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography / Q000379:methods; D002648:Child; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging*; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
ACA = anterior cerebral artery; DSA = digital subtraction angiography; ICA = internal carotid artery; ICU = intensive care unit; MCA = middle cerebral artery; PCoA = posterior communicating artery; diagnostic technique; operative technique; vascular disorders