PDF herunterladen
J Neurol Surg A Cent Eur Neurosurg 2022; 83(06): 602-605
DOI: 10.1055/s-0041-1726106
Case Report

“Flow Reversal” and Cure in a Case of Giant Intracranial Aneurysm: A Case Report

Abhidha Shah
1   Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India
,
Ravikiran Vutha
1   Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India
,
Jash Doshi
1   Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India
,
Nishit Trivedi
1   Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India
,
Atul Goel
1   Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India
2   Department of Neurosurgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Abstract

We describe the case of an 11-year-old girl having a giant anterior circulation aneurysm. The ipsilateral internal carotid artery was entirely blocked and the aneurysm was supplied by posterior circulation. Following a high-flow bypass that connected the external carotid artery to the middle cerebral artery, the giant aneurysm thrombosed spontaneously. We discuss several relatively rare and unique features of the case.

Keywords

giant aneurysm - flow diversion - internal carotid artery - high-flow bypass


Publikationsverlauf

Eingereicht: 06. September 2020

Angenommen: 28. Oktober 2020

Artikel online veröffentlicht:
02. Juni 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Lonjon M, Pennes F, Sedat J, Bataille B. Epidemiology, genetic, natural history and clinical presentation of giant cerebral aneurysms. Neurochirurgie 2015; 61 (06) 361-365
    CrossrefPubMedSuche in Google Scholar
  • 2 Pruvot AS, Curey S, Derrey S, Castel H, Proust F. Giant intracranial aneurysms in the paediatric population: suggested management and a review of the literature. Neurochirurgie 2016; 62 (01) 20-24
    CrossrefPubMedSuche in Google Scholar
  • 3 Ferracci FX, Gilard V, Cebula H. et al. Growth of giant intracranial aneurysms: an aneurysmal wall disorder?. Neurochirurgie 2017; 63 (01) 6-12
    CrossrefPubMedSuche in Google Scholar
  • 4 Yeh H, Tomsick TA. Obliteration of a giant carotid aneurysm after extracranial-to-intracranial bypass surgery: case report. Surg Neurol 1997; 48 (05) 473-476
    CrossrefPubMedSuche in Google Scholar
  • 5 Cantore G, Santoro A, Da Pian R. Spontaneous occlusion of supraclinoid aneurysms after the creation of extra-intracranial bypasses using long grafts: report of two cases. Neurosurgery 1999; 44 (01) 216-219 , discussion 219–220
    CrossrefPubMedSuche in Google Scholar
  • 6 Kalani MY, Zabramski JM, Nakaji P, Spetzler RF. Twenty-year follow-up of flow reversal and revascularization for a giant serpentine basilar artery aneurysm. Neurosurgery 2014; 10 (Suppl. 03) E493-E497 , discussion E497
    PubMedSuche in Google Scholar
  • 7 Kalani MY, Zabramski JM, Nakaji P, Spetzler RF. Bypass and flow reduction for complex basilar and vertebrobasilar junction aneurysms. Neurosurgery 2013; 72 (05) 763-775 , discussion 775–776
    CrossrefPubMedSuche in Google Scholar
  • 8 Wang L, Shi X, Qian H. Flow reversal bypass surgery: a treatment option for giant serpentine and dolichoectatic aneurysms-internal maxillary artery bypass with an interposed radial artery graft followed by parent artery occlusion. Neurosurg Rev 2017; 40 (02) 319-328
    CrossrefPubMedSuche in Google Scholar
  • 9 Li Y, Payner TD, Cohen-Gadol AA. Spontaneous regression of an intracranial aneurysm after carotid endarterectomy. Surg Neurol Int 2012; 3: 66
    CrossrefPubMedSuche in Google Scholar
  • 10 Hans FJ, Krings T, Reinges MH, Mull M. Spontaneous regression of two supraophthalmic internal cerebral artery aneurysms following flow pattern alteration. Neuroradiology 2004; 46 (06) 469-473
    PubMedSuche in Google Scholar