Document Detail

Management of ruptured dissecting intracranial aneurysms in infants: report of four cases and review of the literature.
MedLine Citation:
PMID:  23014950     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Intracranial cerebral aneurysms in the pediatric population are infrequent, and those occurring in infants less than 1 year old are extremely rare. Of intracranial aneurysms in children, dissecting aneurysms are the most common type seen. While spontaneous dissecting aneurysms usually present with ischemia, hemorrhage can also occur.
METHODS: A retrospective review of our patients revealed that from July 1, 2007 to June 30, 2012, four infants were treated for ruptured distal dissecting intracranial aneurysms at Texas Children's Hospital. Mycotic aneurysms and collagen vascular disorder were excluded in all four cases. All patients presented in our series presented with subarachnoid hemorrhage, and three had intraventricular hemorrhage. All patients underwent conventional catheter angiography for diagnosis. All patients in this series were managed in the acute or subacute period with surgical or endovascular trapping without distal bypass procedures. All four patients tolerated sacrifice of the parent vessels feeding these distal aneurysms well.
CASE REPORT AND REVIEW OF LITERATURE: We describe the presentation and management of these rare cases and then review the current literature on the management of these dissecting aneurysms in infants.
Vikas Y Rao; Krishna B Shah; Robert J Bollo; Michel E Mawad; William E Whitehead; Daniel J Curry; Robert C Dauser; Thomas G Luerssen; Andrew Jea
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2012-09-27
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  29     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-12     Completed Date:  2013-08-26     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  685-91     Citation Subset:  IM    
Division of Pediatric Neurosurgery, Texas Children's Hospital, 6621 Fannin Street, CCC 1230.01, 12th Floor, Houston, TX 77030, USA.
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MeSH Terms
Aneurysm, Dissecting / radiography,  therapy*
Aneurysm, Ruptured / radiography,  therapy*
Embolization, Therapeutic*
Intracranial Aneurysm / radiography,  therapy*
Magnetic Resonance Angiography
Retrospective Studies
Subarachnoid Hemorrhage / radiography,  therapy
Treatment Outcome

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