Treatment of ruptured intracranial aneurysms in children associated with arteriovenous malformation
| Autor: | P Sinisa Matic, M Goran Tasic, M Igor Nikolic, Milan Mrdak, D Vuk Scepanovic, M Aleksandar Janicijevic, T Vladimir Janicijevic, R Nikola Repac, B Igor Djoric, H Miljan Mihajlovic |
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| Rok vydání: | 2013 |
| Předmět: |
Weakness
medicine.medical_specialty Subarachnoid hemorrhage medicine.diagnostic_test business.industry Arteriovenous malformation General Medicine Digital subtraction angiography medicine.disease Surgery Intraventricular hemorrhage Aneurysm medicine.anatomical_structure medicine cardiovascular diseases Radiology medicine.symptom business Pediatric population Artery |
| Zdroj: | Acta chirurgica Iugoslavica. 60:65-69 |
| ISSN: | 2406-0887 0354-950X |
| DOI: | 10.2298/aci1304065m |
| Popis: | Introduction. Intracranial aneurysms are very rare in the pediatric population . Very rarely they are accompanied by subarachnoid hemorrhage (SAH). As in the adults they are most often discovered after their rupture. Case report. We report the case of a child 14 months old at the time of rupture of the aneurysm , which led to intraventricular hemorrhage and accompanied by left side body weakness. After diagnosis - digital subtraction angiography (DSA) aneurysm on the posterior chorioid artery was verified. Consultatory there was no decision for surgical treatment. The child is now 6 years old, there is a discrete left side pyramidal deficit , control DSA - finding stationary. Conclusion: Despite the development of modern diagnosis of intracranial aneurysms their treatment is still a big challenge. Child?s brain has great recovery potential, which encourages aggressive therapy for these disorders and provide good results. In younger patients with ruptured aneurysms and vascular anomalies associated with neurological deficit, where surgical treatment or endovascular procedures associated with the high risk of complications, conservative treatment is indicated. |
| Databáze: | OpenAIRE |
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