Traumatic intracranial aneurysm in infancy

T C Tan1, C M Chan, H M Chiu

  • 1Department of Neurosurgery, and Radiology and Imaging, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong. tzechingtan@hotmail.com

Insights

A rare traumatic brain aneurysm in an infant was successfully treated with surgical clipping. Early diagnosis and high suspicion are crucial for infants with head trauma and delayed neurological decline.

Area of Science:

  • Neuroscience
  • Pediatric Neurosurgery
  • Vascular Neurology

Background:

  • Traumatic intracranial aneurysms are rare, particularly in infants.
  • Delayed neurological deterioration after head trauma in children can have subtle signs.

Observation:

  • A 15-month-old infant presented with symptoms suggestive of a traumatic intracranial aneurysm.
  • Computed tomographic angiography confirmed the presence of an anterior cerebral artery aneurysm.

Findings:

  • The infant's traumatic anterior cerebral artery aneurysm was successfully clipped.
  • The patient experienced a full recovery following the surgical intervention.

Implications:

  • A high index of suspicion is necessary for diagnosing traumatic intracranial aneurysms in pediatric patients with head trauma.
  • Prompt diagnosis and treatment are vital for favorable outcomes in infants with these rare vascular injuries.

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