Occult posterior inferior cerebellar artery dissection requiring endovascular treatment following pediatric head trauma: case report
| Autor: | Adam Rennie, Ayman M Qureshi, Lauren Harris, Patrick J Grover, Fergus Robertson, Greg James |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Traumatic brain injury Dissection (medical) Aneurysm Ruptured Head trauma 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery Brain Injuries Traumatic medicine Humans cardiovascular diseases Arterial dissection business.industry Endovascular Procedures Intracranial Aneurysm General Medicine Cerebral Arteries medicine.disease Embolization Therapeutic Hydrocephalus Aortic Dissection Posterior inferior cerebellar artery Intraventricular hemorrhage 030220 oncology & carcinogenesis Radiology business Tomography X-Ray Computed Intracranial Hemorrhages 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurosurgery. Pediatrics. 27(6) |
| ISSN: | 1933-0715 |
| Popis: | This is the eighth case report of a pediatric dissecting posterior inferior cerebellar artery aneurysm. The authors present the case of a 13-year-old boy who presented with posttraumatic posterior fossa subdural, subarachnoid, and intraventricular hemorrhage with hydrocephalus. Initial vascular imaging findings were negative; however, a high level of suspicion is necessary. The aneurysm was identified on day 20, after recurrence of hydrocephalus, and was treated with endovascular vessel sacrifice. The patient made a good recovery. It is important to consider arterial dissection in pediatric traumatic brain injury, especially with suspicious findings on initial CT scan and clinical presentation out of proportion to the mechanism of injury. Delayed vascular imaging is imperative for appropriate management. |
| Databáze: | OpenAIRE |
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