Posterior circulation aneurysms in a child: clipping of one leads to spontaneous thrombosis of the other

Pediatr Neurosurg. 1997 Jan;26(1):41-7. doi: 10.1159/000121160.


Multiple intracranial aneurysms in children are infrequent. This case involves an 11-year-old girl who presented with subarachnoid hemorrhage with posterior cerebral and superior cerebellar artery aneurysms. Initially, she underwent clipping of the posterior cerebral artery aneurysm. Four months later, she returned for clipping of the other aneurysm, at which time it was found to have completely thombosed. The literature contains 4 other cases of spontaneous thrombosis of intracranial aneurysms in children, but only one aneurysm < 25 mm in size is described. The clinical, surgical, and radiological features of this case and a detailed literature review are presented.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebral Angiography
  • Cerebral Arteries / diagnostic imaging
  • Cerebral Arteries / surgery
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / etiology
  • Intracranial Aneurysm / surgery*
  • Intracranial Embolism and Thrombosis / diagnostic imaging
  • Intracranial Embolism and Thrombosis / etiology*
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology*
  • Subarachnoid Hemorrhage / complications
  • Tomography, X-Ray Computed