Spontaneous Complete Occlusion of Middle Cerebral Artery Aneurysm: Case Report.
10.7461/jcen.2012.14.4.309
- Author:
Byung Jin KIM
1
;
Jung Soo KIM
;
Kyoung Dong JEON
;
Sun il LEE
Author Information
1. Department of Neurosurgery, Busan Paik Hospital, Inje university College of Medicine, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Middle cerebral artery aneurysm;
Spontaneous remission;
Angiography
- MeSH:
Aneurysm;
Angiography;
Craniotomy;
Female;
Headache;
Humans;
Intracranial Aneurysm;
Middle Cerebral Artery;
Natural History;
Neck;
Remission, Spontaneous;
Rupture
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2012;14(4):309-314
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are few observation papers regarding the natural history of an aneurysm. We report on a case of a completely occluded middle cerebral artery (MCA) aneurysm. A 47-year-old female patient presented with a headache and was diagnosed with rupture of a right MCA aneurysm. Due to a high risk of direct neck clipping, she received conservative treatment after craniotomy and wrapping of her aneurysm. The patient's condition showed improvement, with complete occlusion of the aneurysm and considerable reduction of the aneurysm in size after approximately three years. This is a rare case of an aneurysm of MCA that showed spontaneous resolution. Finally, on the angiogram, characteristics of an aneurysm to occlude spontaneously will be presumed based on literature reviews.