Kim Byung Jin, Kim Jung Soo, Jeon Kyoung Dong, Lee Sun-Il
Department of Neurosurgery, Busan Paik Hospital, Inje university College of Medicine, Busan, Korea.
J Cerebrovasc Endovasc Neurosurg. 2012 Dec;14(4):309-14. doi: 10.7461/jcen.2012.14.4.309. Epub 2012 Dec 29.
There are few observation papers regarding the natural history of an aneurysm. We report on a case of a completely occluded middle cerebral artery (MCA) aneurysm. A 47-year-old female patient presented with a headache and was diagnosed with rupture of a right MCA aneurysm. Due to a high risk of direct neck clipping, she received conservative treatment after craniotomy and wrapping of her aneurysm. The patient's condition showed improvement, with complete occlusion of the aneurysm and considerable reduction of the aneurysm in size after approximately three years. This is a rare case of an aneurysm of MCA that showed spontaneous resolution. Finally, on the angiogram, characteristics of an aneurysm to occlude spontaneously will be presumed based on literature reviews.
关于动脉瘤自然史的观察性论文很少。我们报告一例大脑中动脉(MCA)动脉瘤完全闭塞的病例。一名47岁女性患者因头痛就诊,被诊断为右侧MCA动脉瘤破裂。由于直接夹闭颈部的风险较高,她在开颅手术和包裹动脉瘤后接受了保守治疗。大约三年后,患者病情有所改善,动脉瘤完全闭塞且大小显著缩小。这是一例罕见的MCA动脉瘤自发消退病例。最后,基于文献综述,在血管造影上推测动脉瘤自发闭塞的特征。