KMID : 1005420120140040309
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Journal of Cerebrovascular and Endovascular Neurosurgery 2012 Volume.14 No. 4 p.309 ~ p.314
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Spontaneous Complete Occlusion of Middle Cerebral Artery Aneurysm: Case Report
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Kim Byung-Jin
Kim Jung-Soo Jeon Kyoung-Dong Lee Sun-Il
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Abstract
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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.
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KEYWORD
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Middle cerebral artery aneurysm, Spontaneous remission, Angiography
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