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CASE REPORT
Rapid thrombosis of middle cerebral artery aneurysm after subarachnoid haemmorhage
  1. Tarun Mathur1,
  2. Trilochan Srivastava1,
  3. R S Mittal2,
  4. Shankar Tejwani3,
  5. B S Raghavendra1,
  6. Rahul Jain1
  1. 1Department of Neurology, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  2. 2Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  3. 3Department of Radiology, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  1. Correspondence to Dr Tarun Mathur, tmathur111{at}gmail.com

Summary

Spontaneous thrombosis of intracranial aneurysm is a rare event but is frequent after subarachnoid haemorrhage (SAH) and in fusiform or giant saccular aneurysms. We report a case of a 20-year-old man presenting with SAH due to rupture of a giant aneurysm of the middle cerebral artery. Initial CT angiography (CTA) revealed partially thrombosed MCA aneurysm but digital subtraction angiography performed 3 days later revealed complete occlusion of the aneurysm. Rapid thrombosis of aneurysm within 3 days has not been reported in literature so far.

http://dx.doi.org/10.1136/bcr-2012-006767

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    2013 BMJ Publishing Group Ltd