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Multiple intracranial aneurysms in a child with congenital cyanotic heart disease

D P Muzumdar1, M Sateesh, A Goel

  • 1Department of Neurosurgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India. dmuzumdar@hotmail.com

Pediatric Neurosurgery
|October 19, 2006
PubMed

Insights

A child with transposition of the great arteries developed multiple brain aneurysms and carotid fistulae alongside meningitis. This rare case highlights the need for careful evaluation in complex pediatric cardiovascular conditions.

Area of Science:

  • Pediatric Neurology
  • Vascular Neurology
  • Pediatric Cardiology

Background:

  • Transposition of the great arteries (TGA) is a critical congenital heart defect.
  • Intracranial aneurysms are rare in children, especially multiple ones.
  • Pyogenic meningitis can present with diverse neurological complications.

Observation:

  • A 10-year-old child with TGA presented with pyogenic meningitis.
  • Incidental discovery of multiple intracranial aneurysms in both anterior and posterior circulation.
  • Angiography revealed associated multiple carotid artery fistulae (internal and external).

Findings:

  • The co-occurrence of TGA, multiple intracranial aneurysms, and carotid fistulae in a pediatric patient is highly unusual.
  • The presentation suggests a potential link between congenital heart disease and vascular anomalies.
  • The patient is currently under observation, necessitating close monitoring.

Implications:

  • This case underscores the importance of comprehensive neurovascular assessment in pediatric patients with complex congenital heart disease and meningitis.
  • Further research into the pathogenesis of these combined vascular anomalies is warranted.
  • Management strategies for pediatric intracranial aneurysms and fistulae require individualized approaches.

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