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Intermittent appearance of a ruptured cerebral aneurysm on sequential angiograms. Case report
Journal of Neurosurgery
|February 1, 1980
Summary
This study tracked a ruptured anterior cerebral artery aneurysm using serial angiograms. The aneurysm size fluctuated, initially not visible, then thrombosed, and finally refilled before surgical clipping.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Ruptured anterior cerebral artery aneurysms pose significant risks.
- Serial imaging is crucial for monitoring aneurysm evolution.
Observation:
- Anterior cerebral artery aneurysm size changed over serial angiograms.
- Aneurysm was initially absent, then visualized, partially thrombosed, and fully refilled.
- Dynamic changes observed over a 5-week period.
Findings:
- The ruptured aneurysm demonstrated significant size fluctuation.
- Apparent thrombosis was transient, with complete refilling observed.
- Successful surgical clipping was performed after monitoring.
Implications:
- This case highlights the dynamic nature of some aneurysms.
- Serial angiography is vital for accurate assessment and treatment planning.
- Understanding aneurysm behavior informs surgical intervention timing.