Multiple cerebral aneurysms in a neonate: occlusion and rupture

Area of Science:

• Neurology
• Pediatric Neurosurgery
• Vascular Neurology

Background:

• Aneurysmal subarachnoid hemorrhage (aSAH) is exceptionally rare in neonates.
• Cerebral aneurysms in the neonatal population present unique diagnostic and therapeutic challenges.

Observation:

• A neonate presented with a large anterior communicating artery aneurysm, an accessory left middle cerebral artery aneurysm, and a left internal carotid artery (ICA) fusiform aneurysm.
• The neonate experienced left ICA occlusion and subsequent aneurysm rupture.

Findings:

• This case describes the first reported instance of multiple cerebral aneurysms in a neonate.
• Endovascular treatment using detachable coils was successfully performed on the large anterior communicating artery aneurysm.
• The patient demonstrated a significant clinical recovery following the intervention.

Implications:

• This report highlights the possibility of multiple aneurysms in neonatal aSAH, a previously undescribed phenomenon.
• It also underscores the potential efficacy and safety of endovascular treatment for complex neonatal cerebral aneurysms.
• Further research into the etiology and management of neonatal cerebral aneurysms is warranted.