Abstract
Spontaneous regression of an unruptured aneurysm is very rare. We present a case of a 64-year-old woman with an unruptured cerebral aneurysm in which spontaneous regression occurred after contralateral clipping. High-resolution magnetic resonance imaging showed that the aneurysm had decreased in size and there was no evidence of thrombus.
Level of Evidence Case, Level IV.
Similar content being viewed by others
References
Li Y, Payner TD, Cohen-Gadol AA. Spontaneous regression of an intracranial aneurysm after carotid endarterectomy. Surg Neurol Int. 2012;3:66.
Chow MM, Thorell WE, Rasmussen PA. Aneurysm regression after coil embolization of a concurrent aneurysm. AJNR Am J Neuroradiol. 2005;26(4):917–21.
Tsimpas A, Ashley WW, Germanwala AV. Spontaneous regression of intracranial aneurysm following remote ruptured aneurysm treatment with pipeline stent assisted coiling. J Neurointerv Surg. 2016;8(10):e39.
Choi C-Y, Han S-R, Yee G-T, Lee C-H. Spontaneous regression of an unruptured and non-giant intracranial aneurysm. J Korean Neurosurg Soc. 2012;52(3):243–5.
Park JK, Lee CS, Sim KB, Huh JS, Park JC. Imaging of the walls of saccular cerebral aneurysms with double inversion recovery black-blood sequence. J Magn Reson Imaging. 2009;30(5):1179–83.
Kim YJ, Lee DH, Kwon JY, Kang DW, Suh DC, Kim JS, Kwon SU. High resolution MRI difference between moyamoya disease and intracranial atherosclerosis. Eur J Neurol. 2013;20(9):1311–8.
Kim YS, Lim SH, Oh KW, Kim JY, Koh SH, Kim J, Heo SH, Chang DI, Lee YJ, Kim HY. The advantage of high resolution MRI in evaluating basilar plaques: a comparison study with MRA. Atherosclerosis. 2012;224(2):411–6.
Hans FJ, Krings T, Reinges MH, Mull M. Spontaneous regression of two supraophthalmic internal cerebral artery aneurysms following flow pattern alteration. Neuroradiology. 2004;46(6):469–73.
Kim HJ, Kim JH, Kim DR, Kang HI. Thrombosis and recanalization of small saccular cerebral aneurysm: two case reports and a suggestion for possible mechanism. J Korean Neurosurg Soc. 2014;55(5):280–3.
Nagahata S, Nagahata M, Obara M, Kondo R, Minagawa N, Sato S, Sato S, Mouri W, Saito S, Kayama T. Wall enhancement of the intracranial aneurysms revealed by magnetic resonance vessel wall imaging using three-dimensional turbo spin-echo sequence with motion-sensitized driven-equilibrium: a sign of ruptured aneurysm? Clin Neuroradiol. 2016;26(3):277–83.
Matouk CC, Mandell DM, Gunel M, Bulsara KR, Malhotra A, Hebert R, Johnson MH, Mikulis DJ, Minja FJ. Vessel wall magnetic resonance imaging identifies the site of rupture in patients with multiple intracranial aneurysms: proof of principle. Neurosurgery. 2013;72(3):492–6.
Chalouhi N, Ali MS, Jabbour PM, Tjoumakaris SI, Gonzalez LF, Rosenwasser RH, Koch WJ, Dumont AS. Biology of intracranial aneurysms: role of inflammation. J Cereb Blood Flow Metab. 2012;32(9):1659–76.
Hu P, Yang Q, Wang DD, Guan SC, Zhang HQ. Wall enhancement on high-resolution magnetic resonance imaging may predict an unsteady state of an intracranial saccular aneurysm. Neuroradiology. 2016;58(10):979–85.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was provided by the patient.
Rights and permissions
About this article
Cite this article
Kim, S., Kang, M., Jo, J. et al. Spontaneous Regression of an Intracranial Aneurysm Following Remote Aneurysm Clipping: Evaluation with High-Resolution Vessel Wall MRI. Cardiovasc Intervent Radiol 41, 660–663 (2018). https://doi.org/10.1007/s00270-017-1864-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-017-1864-1