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Spontaneous Healing And Complete Disappearance Of A Giant Basilar Tip Aneurysm In A Child

Luo et al., 2001Other/Unknown

Luo, C. B., Chen, Y. L., Hsu, S. W., Alvarez, H., Rodesch, G., & Lasjaunias, P. (2001). spontaneous healing and complete disappearance of a giant basilar tip aneurysm in a child. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 7(2), 141–145. https://doi.org/10.1177/159101990100700209

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Abstract

We report a rare case of spontaneous total thrombosis of a giant basilar tip aneurysm resulting in compression of the brainstem, diagnosed in a two-year-old child who presented with neurological deficits and third cranial nerve impairment. After conservative treatment, the giant aneurysm was completely thrombosed and the clinical symptoms were remarkably improved. MRI demonstrated dramatic shrinkage and ultimately complete disappearance of the giant aneurysm at seven month follow-up.

Case Details

Disease Location

Brain

Personal Characteristics

Two years old boy

Clinical Characteristics

Sudden onset of right-sided hemiplegia and aphasia with left-sided third cranial nerve palsy. Giant aneurysm with partial thrombosis at the basilar tip.

Remission Characteristics

Gradual improvement in the neurological deficits were observed in the first three motnhs. All symptoms resolved within six months

Treatment & Mechanisms

Proposed Remission Mechanisms

Spontaneous thrombosis

Clinical Treatment

Conservative treatment. Low doses aspirin. Seven months follow-up.