Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Ruptured Intracranial Aneurysm in a 45-day-old Infant

  • Lee, Jae-Won (Department of Neurosurgery, College of Medicine, Hallym University) ;
  • Rim, Dae-Cheol (Department of Neurosurgery, College of Medicine, Hallym University) ;
  • Ahn, Sung-Ki (Department of Neurosurgery, College of Medicine, Hallym University)
  • Published : 2005.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

The incidence of intracranial aneurysms in childhood is rare, especially in infancy. We report a case of a 45-day-old girl who presented with seizure due to a ruptured large saccular aneurysm of the middle cerebral artery[MCA] with subsequent subarachnoid, intracerebral and intraventricular hemorrhage. The baby has enjoyed an excellent clinical outcome after surgical management. The clinical features of the case and review of the literature are presented.

Keywords

References

  1. Amacher AL, Drake CG : The results of operating upon cerebral aneurysms and angiomas in children and adolescents. Cerebral aneurysms. Childs Brain 5 : 151-165, 1979
  2. Amacher AL, Drake CG, Ferguson GG : Posterior circulation aneurysms in young people. Neurosurgery 8 : 315-320, 1981 https://doi.org/10.1227/00006123-198103000-00003
  3. Bremer JL : Congenital aneurysms of the cerebral arteries. An embryologic study. Arch Pathol 35 : 819-831, 1943
  4. Ferrante L, Fortuna A, Celli P, Santoro A, Fraioli B : Intracranial arterial aneurysms in early childhood. Surg Neurol 29 : 39-56, 1988 https://doi.org/10.1016/0090-3019(88)90122-X
  5. Forbus WD : On the origin of miliary aneurysms of the superficial cerebral arteries. Bull Hopkins Hosp 47 : 239-284, 1930
  6. Fox JL, Ko JP : Familial intracranial aneurysms. Six cases among 13 siblings. J Neurosurg 52 : 501-503, 1980 https://doi.org/10.3171/jns.1980.52.4.0501
  7. Grobe ML, Saunders M, Carton CA : Subarachnoid hemorrhage secondary to ruptured aneurysms in infants. Report of two cases. J Neurosurg 49 : 898-902, 1978 https://doi.org/10.3171/jns.1978.49.6.0898
  8. Hulsman S, Moskopp D, Wassmann H : Management of a ruptured cerebral aneurysm in infancy. Report of a case of a ten-month-old-boy. Neurosurg Rev 21 : 161-166, 1998 https://doi.org/10.1007/BF02389324
  9. Jones RK, Shearburn EW : Intacranial aneurysm in a four-week-old infant. Diagnosis by angiography and successful operation. J Neurosurg 18 : 122-124, 1961 https://doi.org/10.3171/jns.1961.18.1.0122
  10. Kanaan I, Lasjaunias P, Coates R : The spectrum of intracranial aneurysm in pediatrics. Minim Invasive Neurosurg 38 : 1-9, 1995 https://doi.org/10.1055/s-2008-1053453
  11. Lipper S, Morgan D, Krigman MR, Staab EV : Congenital saccular aneurysm in a 19-day-old neonate. Case report and review of the literature. Surg Neurol 10 : 161-165, 1978
  12. Maroun F, Squarey K, Jacob J, Murray G, Cramer B, Barron J, et al : Rupture of middle cerebral artery aneurysm in neonate. Case report and review of the literature. Surg Neurol 59 : 114-119, 2003 https://doi.org/10.1016/S0090-3019(02)00984-9
  13. Meyer FB, Sundt TM, Fode NC, Morgan MK, Forbes GS, Mellinger JF : Cerebral aneurysms in childhood and adolescence. J Neurosurg 70 : 420-425, 1989 https://doi.org/10.3171/jns.1989.70.3.0420
  14. Nishio A, Sakaguchi M, Murata K, Egashira M, Yamada T, Izuo M, et al : Anterior communicating artery aneurysm in early childhood. Report of a case. Surg Neurol 35 : 224-229, 1991 https://doi.org/10.1016/0090-3019(91)90075-K
  15. Ostergaard JR : Aetiology of intracranial saccular aneurysms in childhood. Br J Neurosurg 5 : 575-580, 1991 https://doi.org/10.3109/02688699109002879
  16. Ostergaard JR : Deficiency of reticular fibers in cerebral arteries. On the etiology of saccular aneurysms in children. Br J Neurosurg 3 : 113-116, 1989 https://doi.org/10.3109/02688698909001033
  17. Putty TK, Luerssen TG, Campbell RL, Boaz JC, Edwards MK : Magnetic resonance imaging diagnosis of a cerebral aneurysm in an infant. Case report and review of the literature. Pediatr Neurosurg 16 : 48-51, 1991
  18. Sedzimir CB, Robinson J : Intracranial hemorrhage in children and adolescents. J Neurosurg 38 : 269-281, 1973 https://doi.org/10.3171/jns.1973.38.3.0269
  19. Ter-Berg HW, Bijlsma JB, Veiga-Pires JA, Ludwig JW, Heiden C, Tulleken CA, et al : Familial association of intracranial aneurysms and multiple congenital anomalies. Arch Neurol 43 : 30-33, 1986 https://doi.org/10.1001/archneur.1986.00520010026015
  20. Thrush AL, Marano GD : Infantile intracranial aneurysm. Report of a case and review of the literature. AJNR 9 : 903-906, 1988
  21. Ventureyra ECG, Choo SH, Benoit BG : Super giant globoid intracranial aneurysm in an infant. Case report. J Neurosurg 53 : 411-416, 1980 https://doi.org/10.3171/jns.1980.53.3.0411
  22. Young WF, Pattisapu JV : Ruptured cerebral aneurysm in a 39-day-old infant. Case report. Clin Neurol Neurosurg 102 : 140-143, 2000 https://doi.org/10.1016/S0303-8467(00)00083-4