Embolization of dissected and ruptured giant anterior cerebral artery aneurysm in a full-term neonate


HAMİD R., Korkmazer B., Suleyman K., Karagoz S. H., ARSLAN S., KIZILKILIÇ O.

CHILDS NERVOUS SYSTEM, cilt.40, sa.12, ss.4243-4250, 2024 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 40 Sayı: 12
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1007/s00381-024-06534-1
  • Dergi Adı: CHILDS NERVOUS SYSTEM
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.4243-4250
  • Anahtar Kelimeler: Dissected aneurysm, Endovascular embolization, Full term neonate, Intracranial aneurysm
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

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.