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Traumatic cerebral aneurysm formation following ventriculoperitoneal shunt insertion
Michael David Jenkinson1, Surajit Basu, John C Broome
1Department of Neurosurgery, Walton Centre for Neurology and Neurosurgery, Lower Lane, Liverpool, L9 7LJ, UK. michael.jenkinson@thewaltoncentre.nhs.uk
Introduction:
Iatrogenic intracranial aneurysms are rare in children.
Case Report:
A 15-year-old girl presented in coma with a fixed dilated left pupil six weeks following removal of a long-standing left-sided ventriculoperitoneal shunt. Computed tomography (CT) and cerebral angiography revealed a left temporoparietal intracerebral haemorrhage with a fusiform distal middle cerebral artery aneurysm. The patient underwent image-guided localisation of the aneurysm to enable evacuation of the haemorrhage and resection of the fusiform aneurysm.
Conclusion:
A high index of suspicion is required for diagnosis and early treatment to prevent unnecessary morbidity and mortality.