Growth of Totally Thrombosed Giant Aneurysm Within the Posterior Cranial Fossa. Diagnostic and Therapeutic Considerations

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 1991 Jan 1

PMID 2046906

Citations 17

Authors

Y Katayama

T Tsubokawa

S Miyazaki

M Furuichi

T Hirayama

K Himi

Affiliations

Soon will be listed here.

Abstract

We report a case in which growth of a totally thrombosed giant aneurysm of the posterior cranial fossa was demonstrated by computed tomography (CT) scans repeated after 4 years. A magnetic resonance (MR) image demonstrated an onion-skin-like, laminated structure within a calcified wall. The laminated structure had developed around an old thrombosis, without any communication to the flowing blood. It showed intensities indicating recent clots, revealing that the giant aneurysm had grown by recurrent intramural hemorrhage rather than by intraluminal accumulation of thrombotic materials. This case illustrates that totally thrombosed giant aneurysms still have the potential of growth.

Citing Articles

Giant aneurysm arising from a cortical middle cerebral artery branch presenting as an extra-axial tumour: a case report.

Jain S, Paschalis T, Das T, Helmy A J Surg Case Rep. 2023; 2023(4):rjad210.

PMID: 37114081 PMC: 10125842. DOI: 10.1093/jscr/rjad210.

Delayed extensive brain edema caused by the growth of a giant basilar apex aneurysm treated with basilar artery obliteration: a case report.

Garcia-Perez D, Panero I, Eiriz C, Moreno L, Munarriz P, Paredes I BMC Neurol. 2020; 20(1):232.

PMID: 32505180 PMC: 7275367. DOI: 10.1186/s12883-020-01819-9.

Multimodal management of giant cerebral aneurysms: review of literature and case presentation.

Campos J, Ball B, Cheaney Ii B, Sweidan A, Hasjim B, Hsu F Stroke Vasc Neurol. 2020; 5(1):22-28.

PMID: 32411404 PMC: 7213518. DOI: 10.1136/svn-2019-000304.

Growth and subsequent disappearance of a ruptured small saccular intracranial aneurysm: A morphometric and flow-dynamic analysis.

Peruvumba J, Paul D, Verghese R Neuroradiol J. 2016; 29(5):340-6.

PMID: 27470928 PMC: 5033091. DOI: 10.1177/1971400916658305.

Case report: Thrombosed giant cavernous carotid artery aneurysm secondary to cervical internal carotid artery dissection: An unusual entity.

Baldawa S, Pendharkar H, Menon G, Nair S Indian J Radiol Imaging. 2011; 21(3):225-7.

PMID: 22013300 PMC: 3190497. DOI: 10.4103/0971-3026.85373.

References

Thron A, Bockenheimer S . Giant aneurysms of the posterior fossa suspected as neoplasms on computed tomography. Neuroradiology. 1979; 18(2):93-7. DOI: 10.1007/BF00344829. View

Spallone A . Giant, completely thrombosed intracranial aneurysm simulating tumor of the foramen magnum. Surg Neurol. 1982; 18(5):372-6. DOI: 10.1016/0090-3019(82)90155-0. View

Schubiger O, Valavanis A, Wichmann W . Growth-mechanism of giant intracranial aneurysms; demonstration by CT and MR imaging. Neuroradiology. 1987; 29(3):266-71. DOI: 10.1007/BF00451765. View

Michael W . Posterior fossa aneurysms simulating tumours. J Neurol Neurosurg Psychiatry. 1974; 37(2):218-23. PMC: 494617. DOI: 10.1136/jnnp.37.2.218. View

ARSENI C, Ghitescu N, Cristescu A, MIHAILA G . The pseudotumoral form of aneurysms of the posterior cranial fossa. Neurochirurgia (Stuttg). 1969; 12(4):123-7. DOI: 10.1055/s-0028-1095294. View

Artmann H, Vonofakos D, Muller H, Grau H . Neuroradiologic and neuropathologic findings with growing giant intracranial aneurysm. Review of the literature. Surg Neurol. 1984; 21(4):391-401. DOI: 10.1016/0090-3019(84)90120-4. View

Miller E, Newton T . Extra-axial posterior fossa lesions simulating intra-axial lesions on computed tomography. Radiology. 1978; 127(3):675-9. DOI: 10.1148/127.3.675. View

Pinto R, KRICHEFF I, Butler A, Murali R . Correlation of computed tomographic, angiographic, and neuropathological changes in giant cerebral aneurysms. Radiology. 1979; 132(1):85-92. DOI: 10.1148/132.1.85. View

Epstein N, EPSTEIN F, Berenstein A . Posterior fossa vascular anomaly presenting as a vermis mass in a 4-year-old child: diagnostic and therapeutic considerations. Neurosurgery. 1980; 6(6):665-7. DOI: 10.1227/00006123-198006000-00011. View

10.

Schubiger O, Valavanis A, Hayek J . Computed tomography in cerebral aneurysms with special emphasis on giant intracranial aneurysms. J Comput Assist Tomogr. 1980; 4(1):24-32. DOI: 10.1097/00004728-198002000-00005. View

11.

Sarwar M, Batnitzky S, SCHECHTER M . Tumours aneurysms. Neuroradiology. 1976; 12(2):79-97. DOI: 10.1007/BF00333123. View

12.

Sutton D . The vertebro-basilar system and its vascular lesions. Clin Radiol. 1971; 22(3):271-87. DOI: 10.1016/s0009-9260(71)80073-9. View

13.

Dolenc V . End-to-end suture of the posterior inferior cerebellar artery after the excision of a large aneurysm: case report. Neurosurgery. 1982; 11(5):690-3. DOI: 10.1227/00006123-198211000-00014. View

14.

Sorensen P, Lundorf E . Giant aneurysm of the vertebral artery simulating intracranial tumour at the foramen magnum. Neuroradiology. 1988; 30(4):359. DOI: 10.1007/BF00328191. View