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Abstract
Patients with a giant intracranial aneurysm usually present as having an intracranial
space-taking lesion, but no subarachnoid hemorrhage. The authors describe a 61-year-old
man with a completely thrombosed giant aneurysm at the pericallosal artery. Computed
tomography scan showed a large, round, mottled, high-density area in the paramedian
frontal region that had ringlike enhancement with contrast media. On cerebral angiography
it was demonstrated to be an avascular mass lesion. These findings led to an initial
diagnosis of falx meningioma. However, final diagnosis at operation was completely
thrombosed giant aneurysm. The literature is reviewed and the pathogenesis of intracranial
thrombosed giant aneurysm, in regard to its growth and thrombus formation, is discussed.
Keywords
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© 1987 Published by Elsevier Inc.