Embolization of dissected and ruptured giant anterior cerebral artery aneurysm in a full-term neonate.

Autor: Hamid R; Neuroradiology Division, Radiology Department, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Kocamustafapaşa Caddesi No:53 Cerrahpaşa 34098, Fatih, Istanbul, Turkey., Korkmazer B; Neuroradiology Division, Radiology Department, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Kocamustafapaşa Caddesi No:53 Cerrahpaşa 34098, Fatih, Istanbul, Turkey., Suleyman K; Radiology Department, Başakşehir Çam & Sakura City Hospital, University of Health Sciences, Istanbul, Turkey., Karagöz SH; Neuroradiology Division, Radiology Department, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Kocamustafapaşa Caddesi No:53 Cerrahpaşa 34098, Fatih, Istanbul, Turkey., Arslan S; Neuroradiology Division, Radiology Department, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Kocamustafapaşa Caddesi No:53 Cerrahpaşa 34098, Fatih, Istanbul, Turkey., Kızılkılıç O; Neuroradiology Division, Radiology Department, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Kocamustafapaşa Caddesi No:53 Cerrahpaşa 34098, Fatih, Istanbul, Turkey. osmank@istanbul.edu.tr.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 Aug 09. Date of Electronic Publication: 2024 Aug 09.
DOI: 10.1007/s00381-024-06534-1
Abstrakt: Background: Intracranial aneurysms are rare in the pediatric age group, especially in neonates. This article presents a novel case of a neonate with a dissected and ruptured giant anterior cerebral artery aneurysm, focusing on diagnosis and endovascular treatment with a review of the literature.
Case Description: A full-term female neonate presented with projectile vomiting, fever, and hyperkinetic movements. Diagnostic workup revealed a giant dissecting and partially thrombosed aneurysm along the anterior cerebral artery. The neonate underwent successful endovascular coil embolization.
Results: The intervention led to the cessation of symptoms, and the patient was discharged and followed with mild hypotonia as the only neurological deficit at 9 months.
Conclusion: This case highlights the rarity and complexity of diagnosing and treating giant dissected anterior cerebral artery aneurysms in neonates. It underscores the importance of considering intracranial aneurysms in differential diagnosis for neonates with relevant symptoms and suggests endovascular embolization as an effective treatment option.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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