Thrombosis and spontaneous recanalization of a giant intracranial aneurysm: diagnostic and management pearls in a pediatric patient

Abstract

<jats:p>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.</jats:p>

Embolic stroke secondary to spontaneous thrombosis of unruptured intracranial aneurysm: Report of three cases

“…Spontaneous recanalization of a previously thrombosed aneurysm can also occur. 9 Our patients received a low dose of aspirin, and we did not observe hemorrhagic complications.…”

Large cavernous carotid artery aneurysm with spontaneous thrombosis: is there more to a change in morphology than there seems to be? Illustrative case

“…However, few reports to date describe pathogenesis and suggest treatment strategies for spontaneously thrombosed unruptured cerebral aneurysms. 4 , 7 , 8 Endovascular treatment, including the deployment of a flow diverter stent, sometimes requires device delivery distally through the aneurysm, and intraaneurysmal thrombus presents a risk of intraoperative embolism. In addition, it has been reported that the rate of complete occlusion after the placement of a flow diverter stent is low in partially thrombosed intracranial aneurysms.…”