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Neonatal cavernous carotid artery aneurysm: case report
Gary L Gallia1, Carolyn Moore, Lori Jordan
1Departments of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. ggallia1@jhmi.edu
Journal of Neurosurgery
|May 11, 2005
Summary
This study presents a rare case of a neonatal intracranial aneurysm in a 4-week-old girl. Endovascular treatment using coils and glue successfully obliterated the cavernous carotid artery aneurysm.
Area of Science:
- Neurology
- Pediatric Neurosurgery
- Vascular Neurology
Background:
- Neonatal intracranial aneurysms are exceedingly rare vascular malformations.
- Cavernous carotid artery aneurysms in neonates present unique diagnostic and therapeutic challenges.
Observation:
- A 4-week-old infant presented with left-eye ptosis and proptosis, indicative of a potential intracranial lesion.
- Imaging revealed a complex aneurysm involving the left cavernous sinus and middle cranial fossa.
Findings:
- Cerebral angiography confirmed a large left cavernous carotid artery aneurysm.
- Successful endovascular obliteration was achieved using detachable coils and N-butyl cyanoacrylate glue.
Implications:
- This case represents the first reported neonatal intracranial aneurysm originating from the cavernous carotid artery treated endovascularly.
- The successful outcome highlights the potential of endovascular techniques in managing these rare pediatric vascular lesions.
- Further research and case reporting are crucial for understanding and optimizing treatment strategies for neonatal intracranial aneurysms.