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Transformation Of A Cranial Fusiform Aneurysm Into A Pseudotumoral-like Mass Prior To Spontaneous Occlusion And Regression

Kalin-Hajdu, A. 2011Other/Unknown

Kalin-Hajdu, E., & Guilberight, F. (2011). Transformation of a cranial fusiform aneurysm into a pseudotumoral-like mass prior to spontaneous occlusion and regression. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 17(1), 70–73. https://doi.org/10.1177/159101991101700111

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Abstract

This report documents the evolution of a non-ruptured cranial fusiform aneurysm that underwent both spontaneous occlusion and regression. During this process, unique images of the aneurysm as a pseudotumoral-like mass were obtained. The pseudotumoral-like mass most likely reflected inflammation and secondary neovascularization within the aneurysm, supporting the theory that spontaneous aneurysmal healing involves an inflammatory process.

Case Details

Disease Location

Middle cerebral artery

Personal Characteristics

28 years old woman, no medical history

Clinical Characteristics

Intense headache, acute episodes of blurred vision and dysphasia. 1.3 cm thrombosed fusiform aneurysm diagnosed. 17 days after, aneurysm with perilesional edema was detected

Remission Characteristics

48 hours after diagnose, aneurysm and edema had decreased. 11 month later, MRI revealed complete regression of the aneurysm.

Treatment & Mechanisms

Proposed Remission Mechanisms

Unknown mechanism.no biopsy and histological speicmen were available for analysis.

Clinical Treatment

Repeat angiography under general anaesthesia.