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Journal of Korean Neurosurgical Society 1996;25(11): 2339-2343.
Recanalization of Totally Thrombosed Giant Aneurysm: Case Report.
Jae Hwan Lee, Hyeon Seon Park, Jin Yang Joo, Kyu Chang Lee
Department of Neurosurgery, College of Medicine Yonsei University, Seoul, Korea.
ABSTRACT
A case of recanalization of totally thrombosed giant aneurysm is reported. The authors describe a 18 year-old female who developed headache, vomiting, and intermittent diplopia with left side ptosis. The brain CT scan and MRI revealed a totally thrombosed giant aneurysm with acute and subacute hemorrhage, located anterior to the left suprasellar cistern. Angiographic finding was non-visualization of the left posteior cerebral artery distal to the P2 segment, and the neck of the aneurysm was not identified. Follow-up angiography taken one month later showed partial recanalization of the thrombosed aneurysm. A probable mechanism of growth, thrombosis, and recanalization, of the giant aneurysms are discussed.
Key Words: Giant aneurysm; Thrombosis; Recanalization
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