The authors present the case of a boy who was successfully managed through the spontaneous thrombosis of a cavernous internal carotid artery (ICA) aneurysm, the subsequent occlusion of the ICA, its recanalization, and ultimate endovascular sacrifice, using only two angiograms because of the diagnostic capability of CT angiography. Spontaneous recanalization of the ICA following occlusion in the setting of a giant aneurysm has not been previously reported.
Keywords: ACA = anterior cerebral artery; DSA = digital subtraction angiography; ICA = internal carotid artery; ICU = intensive care unit; MCA = middle cerebral artery; PCoA = posterior communicating artery; diagnostic technique; operative technique; vascular disorders.