SPONTANEOUS THROMBOSIS OF A LARGE SACCULAR ANEURYSM OF THE V4 SEGMENT OF THE LEFT VERTEBRAL ARTERY IN A 5-YEAR-OLD CHILD Case Report

Authors

  • Abdullayev Nabi Quldashovich
  • Rasulov Shavkat Orziqulovich
  • Hazratkulov Rustam Bafoevich

Keywords:

Spontaneous thrombosis, cerebral aneurysm, vertebral artery, large saccular aneurysm

Abstract

Spontaneous thrombosis of an aneurysm today is one of the rare pathological conditions among cerebrovascular diseases, but nevertheless, it is increasingly being detected in clinical practice. Despite the high technical achievements and the development of general medical science, the etiology and pathogenesis of the development of spontaneous thrombosis remain debatable. This paper presents a clinical case of spontaneous thrombosis of a large saccular aneurysm of the V4 segment of the left vertebral artery in a 5-year-old child. The paper also contains a brief review of the literature on this topic. The unpredictability of the clinical course of spontaneously thrombosed aneurysm and the lack of a single protocol for the introduction of patients with this pathology can create dilemmas when choosing further treatment tactics.

References

Allison J.W., Davis P.S., Sato Y. et al. Intracranial aneurysms in infants and children. Pediatric Radiology. 1998; 28(4): 223–229.

Brenner D.J., Elliston K.D., Hall E.J., Burdon W.E. Estimated risks of radiation-induced fatal cancer from pediatric CT. American Journal of Radiology. 2001; 176(2): 289–296.

Chohan M.O., Westhout F.D., Taylor S.L. Delayed rebleeding from a spontaneously thrombosed aneurysm following a subarachnoid hemorrhage. International Surgical Neurology. 2014; 5: p. 42.

Choi I.S., David S. Giant intracranial aneurysms: development, clinical presentation and treatment. Evr J Radiol. 2003; 46:178–94.

Garg K. et al. Pediatric intracranial aneurysms–our experience and review of literature //Child’s Nervous System. – 2014. – Т. 30. – №. 5. – С. 873- 22.

Kalani M. Y. S. et al. Revascularization and pediatric aneurysm surgery //Journal of Neurosurgery: Pediatrics. – 2014. – Т. 13. – №. 6. – С. 641-646.

Lee KC, Joo JY, Lee KS, Shin YS. Recanalization of a fully thrombosed giant aneurysm: a clinical case. Sur Neurol. 1999; 51:94–8.

Liang J., Bao Y., Zhang X. et al. Clinical and treatment of intracranial aneurysms in children. Nervous system of a child. 2009; 25(3): 317–324.

Lonjon M, Pennes F, Sedat J, Bataille B. Epidemiology, genetic, natural history and clinical presentation of giant cerebral aneurysms. Neurochirurgie. 2015; 61 (6): 361–5.

Mehta R.I., Salamon N., Zipser B.D., Mehta R.I. Best cases from AFIP: Giant intracranial aneurysm. Radiography. 2010; 30:1133–1138.

Mokin M, Darkhabani Z, Binning MJ, Levy EI, Siddiqui AH. Small unruptured partially thrombosed aneurysms and stroke: report of three cases and review of the literature. J Neurointerv Surg. 2012 May; 4 (3): e6. doi: 10.1136/neurintsurg-2011-010026. Epub 2011 Jun 21. PMID: 21990496.

Proust F., Toussaint P., Garnieri J. et al. Cerebral aneurysms in children. Journal of Neurosurgery. 2001; 94(5): 733–739.

Ru P., Wynn H.R., Newell D.W. Treatment of cerebral aneurysms. Elsevier Saunders; 2004.

Silva J. M. et al. Spontaneous thrombosis of aneurysm and posterior cerebral artery // Revista Chilena de Neurocirugía 2013. – Т. 39. – С. 172-5.

Stein S.K., Hurst R.V., Sonnad S.S. Meta-analysis of brain CT scans in children: a mathematical model for predicting radiation-induced tumors. Pediatric Neurosurgery. 2008; 44(6): 448–457.

Tyure U, Elmadzhi I, Ekindzhi G, Pamir MN. Fully thrombosed P2 giant aneurysm: a clinical case and review of the literature. J. Clean Neurosky. 2003; 10:115–20.

Waid V.K., Kumar R., Kalra S.K., Mahapatra A.K., Jain V.K. Pediatric intracranial aneurysms: an institutional experience. Pediatric neurosurgery. 2008; 44(4): 296–301.

Wiebers DO, Investigators ISoUIA. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003; 362(9378):103–10.

Published

2022-10-12