Spontaneous healing and complete disappearance of a ruptured posterior inferior cerebellar artery dissecting aneurysm
| Autor: | Shih-Wei Hsu, Tsung-Ming Su, Wu-Fu Chen, Ching-Hsiao Cheng |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Parents medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Remission Spontaneous Aneurysm Ruptured Ventriculoperitoneal Shunt Treatment Refusal Hematoma Aneurysm Cerebellum medicine.artery medicine Humans cardiovascular diseases Embolization Posterior Cerebral Artery medicine.diagnostic_test business.industry Infant Magnetic resonance imaging General Medicine medicine.disease Embolization Therapeutic Magnetic Resonance Imaging Surgery Aortic Dissection Posterior inferior cerebellar artery Intraventricular hemorrhage cardiovascular system Radiology Tomography X-Ray Computed business Hydrocephalus Cerebral angiography |
| Zdroj: | Journal of Neurosurgery: Pediatrics. 13:503-506 |
| ISSN: | 1933-0715 1933-0707 |
| DOI: | 10.3171/2014.1.peds13412 |
| Popis: | A 7-month-old baby presented with a 4-day history of drowsiness and vomiting after a falling accident. Magnetic resonance imaging demonstrated diffuse subarachnoid hemorrhage, intraventricular hemorrhage, and variable stages of subdural hematoma in bilateral occipital and left temporal subdural spaces. A partially thrombosed aneurysm was noted in the right craniocervical junction. Ophthalmological examination revealed bilateral retinal petechial hemorrhages. Conventional cerebral angiography revealed a dissecting aneurysm in the right posterior inferior cerebellar artery (PICA). Endovascular embolization was suggested, but the family refused. After conservative treatment, follow-up MRI revealed that the PICA aneurysm had remodeled and ultimately disappeared completely at the 10th month. This case illustrates the relatively plastic nature of intracranial aneurysms in pediatric patients. More studies are necessary to clarify the natural history of spontaneously thrombosed aneurysms to assist in their overall management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|