1. Spontaneous Disappearance of an Intracranial Small Unruptured Aneurysm on Magnetic Resonance Angiography: Report of Two Cases
- Author
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Kazuhiro Nakamura, Eiichi Ishikawa, Nobuyuki Takahashi, Yu Akimoto, Kuniyuki Onuma, and Kiyoyuki Yanaka
- Subjects
medicine.medical_specialty ,unruptured cerebral aneurysm ,Spontaneous disappearance ,Case Report ,Magnetic resonance angiography ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,Anterior cerebral artery ,Medicine ,cardiovascular diseases ,thrombosis ,medicine.diagnostic_test ,business.industry ,General Medicine ,medicine.disease ,Thrombosis ,Saccular aneurysm ,Middle cerebral artery ,cardiovascular system ,Unruptured aneurysm ,Radiology ,business ,030217 neurology & neurosurgery - Abstract
Spontaneous radiographic disappearance of cerebral aneurysms is often observed under special conditions such as giant aneurysms. However, spontaneous disappearance of an unruptured and nongiant intracranial saccular aneurysms is rare. We describe two cases of this rare vascular phenomenon. The first patient is a 64-year-old female diagnosed with a small unruptured aneurysm arising from the distal anterior cerebral artery. Spontaneous disappearance of the aneurysm on magnetic resonance angiography (MRA) was observed 5 years after the initial diagnosis. Continuous imaging surveillance also revealed spontaneous reappearance of the aneurysm 2 years later. The second patient is a 57-year-old female harboring a small unruptured saccular aneurysm arising from the M1–M2 bifurcation of the middle cerebral artery. The aneurysm showed spontaneous disappearance on MRA 13 years after the initial diagnosis. These cases provide a new insight into this natural dynamic process even in cases of a small unruptured intracranial saccular aneurysm.
- Published
- 2020