Skip to main content
Log in

Spontaneous Regression of an Intracranial Aneurysm Following Remote Aneurysm Clipping: Evaluation with High-Resolution Vessel Wall MRI

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Li Y, Payner TD, Cohen-Gadol AA. Spontaneous regression of an intracranial aneurysm after carotid endarterectomy. Surg Neurol Int. 2012;3:66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Chow MM, Thorell WE, Rasmussen PA. Aneurysm regression after coil embolization of a concurrent aneurysm. AJNR Am J Neuroradiol. 2005;26(4):917–21.

    PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

  9. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  10. 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.

    Article  CAS  PubMed  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Myongjin Kang.

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

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-017-1864-1

Keywords

Navigation