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Updated: Sep 23, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Traumatic intracranial aneurysm in infancy
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.
Abstract:
An anterior cerebral artery traumatic aneurysm in a 15-month-old infant is described. The diagnosis was confirmed by computed tomographic angiography. The patient recovered fully after successful clipping of the aneurysm. As the signs of traumatic intracranial aneurysm may be subtle especially in young children, a high degree of suspicion is essential in patients presenting with delayed neurological deterioration after head trauma.
Related Concept Videos
Aneurysm I: Introduction
Transient Ischemic Attack l: Introduction
Brain Abscess l: Introduction
Traumatic Brain Injury l: Introduction
Increased Intracranial Pressure l: Introduction
Increased Intracranial Pressure ll: Pathophysiology

