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- Title
Delayed rebleeding of a spontaneously thrombosed aneurysm after subarachnoid hemorrhage.
- Authors
Chohan, Muhammad Omar; Westhout, Franklin D.; Taylor, Christopher L.
- Abstract
Background: This report provides a rare documentation of spontaneous thrombosis of a ruptured aneurysm followed by delayed recanalization and subsequent rerupture. Case Description: A 47-year-old female presented with spontaneous subarachnoid hemorrhage (SAH). Four aneurysms were identified on CT angiogram including a basilar apex aneurysm, considered source of bleeding. Cerebral angiogram on postbleed day (PBD) #1 showed spontaneous thrombosis of basilar apex aneurysm. The patient was discharged to a nursing home on PBD #18 after two subsequent studies showed no recanalization of the basilar aneurysm. The patient returned on PBD #26 with a second episode of spontaneous SAH. The previously thrombosed basilar aneurysm had recanalized and reruptured, which was now treated with coil embolization. Conclusion: We are not aware of a previous report of saccular cerebral aneurysm documenting spontaneous thrombosis after SAH and recanalization with second hemorrhage. This occurrence presents a dilemma regarding the timing and frequency of subsequent cerebrovascular imaging and treatment.
- Subjects
THROMBOSIS; RUPTURED aneurysms; SUBARACHNOID hemorrhage; SPINAL cord hemorrhage; NURSING care facilities
- Publication
Surgical Neurology International, 2014, Vol 5, Issue 1, p207
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.4103/2152-7806.129615