Document Detail


A ruptured middle cerebral artery aneurysm in a 13-month-old boy with Kawasaki disease.
MedLine Citation:
PMID:  20672936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This 13-month-old boy, in whom Kawasaki disease had been diagnosed at the age of 6 months, presented with subarachnoid hemorrhage caused by the rupture of a middle cerebral artery aneurysm. The authors performed an emergency craniectomy and clip occlusion of the aneurysm, which was found to be partially thrombosed. The patient was discharged 4 weeks postoperatively without apparent neurological deficit. Intracranial saccular aneurysms in the pediatric population are rare, and are occasionally associated with various systemic disorders. Kawasaki disease is a systemic vasculopathy of unknown origin, but cerebral arteries are usually spared from the disease process. This is the second case report of a ruptured cerebral aneurysm in a patient with Kawasaki disease, providing a novel clinical feature that the authors call Kawasaki syndrome.
Authors:
Jun Hyong Ahn; Ji Hoon Phi; Hyun-Seung Kang; Kyu-Chang Wang; Byung-Kyu Cho; Ji Yeoun Lee; Gi Beom Kim; Seung-Ki Kim
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  6     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  150-3     Citation Subset:  IM    
Affiliation:
Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Ruptured / diagnosis,  surgery*
Cerebral Angiography
Follow-Up Studies
Humans
Infant
Intracranial Aneurysm / diagnosis,  surgery*
Magnetic Resonance Angiography
Male
Mucocutaneous Lymph Node Syndrome / diagnosis,  surgery*
Neurologic Examination
Postoperative Complications / diagnosis
Subarachnoid Hemorrhage / diagnosis,  surgery
Tomography, X-Ray Computed
Ultrasonography, Doppler, Transcranial
Vasospasm, Intracranial / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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