Embolization of dissected and ruptured giant anterior cerebral artery aneurysm in a full-term neonate
CHILDS NERVOUS SYSTEM, vol.40, no.12, pp.4243-4250, 2024 (SCI-Expanded, Scopus)
- Publication Type: Article / Review
- Volume: 40 Issue: 12
- Publication Date: 2024
- Doi Number: 10.1007/s00381-024-06534-1
- Journal Name: CHILDS NERVOUS SYSTEM
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, EMBASE, MEDLINE
- Page Numbers: pp.4243-4250
- Keywords: Dissected aneurysm, Endovascular embolization, Full term neonate, Intracranial aneurysm
- Istanbul University-Cerrahpasa Affiliated: Yes
Abstract
BackgroundIntracranial 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 descriptionA 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.ResultsThe 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.ConclusionThis 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.