Document Detail


Infectious aneurysmal rupture presenting as massive intracerebral hemorrhage in a preterm baby.
MedLine Citation:
PMID:  17987302     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Infectious intracranial aneurysms in infantile period are very rare, and there is no report of infectious intracranial aneurysm in preterm infant CASE REPORT: A 43-day-old female infant, delivered at 29 weeks of gestation, presented with massive intracranial hemorrhage. Eighteen days after diagnoses of necrotizing enterocolitis, sepsis, and meningitis, the baby became lethargic with rigid left limbs. Imaging studies revealed a large hematoma in the right temporoparietal region and adjacent lateral ventricle. During removal of fresh hematoma, an actively bleeding nodular mass, contiguous with the distal middle cerebral artery branch, was found and excised from the parent vessel. Pathologic examination revealed a ruptured infectious intracranial aneurysm. After surgery, her neurologic status improved and she was doing well at 12 months' follow-up with mild spastic hemiparesis. CONCLUSION: To our knowledge, this is the first reported case of infectious intracranial aneurysm in the preterm infant, which was successfully treated with hematoma evacuation and resection of the aneurysm.
Authors:
Hyun-Seung Kang; So Dug Lim; Young-Cho Koh
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-07
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  24     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2007-12-24     Completed Date:  2009-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  265-8     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Konkuk University Hospital, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Infected / complications,  pathology*,  surgery
Anti-Bacterial Agents / therapeutic use
Antifungal Agents / therapeutic use
Cerebral Hemorrhage / etiology*,  surgery
Enterocolitis, Necrotizing / drug therapy
Female
Humans
Infant, Newborn
Intracranial Aneurysm / complications,  pathology*,  surgery
Meningitis, Bacterial / drug therapy
Pregnancy
Premature Birth
Sepsis / drug therapy
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Antifungal Agents

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