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Endovascular treatment of primary infectious aneurysm in childhood: a case report

Feyzi Birol Sarica1, Bülent Erdoğan, Kadir Tufan

  • 1Baskent University Faculty of Medicine, Neurosurgery Department, Adana, Turkey. saricafb@gmail.com

Turkish Neurosurgery
|April 3, 2008
PubMed

Insights

This study highlights a rare case of infectious intracranial aneurysm in a child, emphasizing diagnostic challenges and successful endovascular treatment. Early detection and intervention are crucial for managing these uncommon pediatric vascular conditions.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Infectious aneurysms are rare, accounting for 4% of intracranial aneurysms, often caused by bacteria like Streptococcus viridans and Staphylococcus aureus.
  • Culture-negative cases are frequent, complicating diagnosis and treatment of infectious intracranial aneurysms.
  • Childhood infectious aneurysms are exceptionally rare, presenting unique diagnostic and management challenges.

Observation:

  • A 6-year-old presented with sudden headache, nausea, vomiting, and fever, indicative of a serious neurological event.
  • Diagnostic workup revealed an intracerebral hematoma and a saccular aneurysm on the distal posterior cerebral artery.
  • Clinical presentation, aneurysm morphology, and location suggested an infectious etiology, despite challenges in identifying a primary infection site.

Findings:

  • Blood cultures identified the causative microorganism, but no infectious focus was found.
  • The patient's intracranial aneurysm was successfully treated with endovascular intervention.
  • This case underscores the diagnostic difficulties and successful management of a rare pediatric infectious aneurysm.

Implications:

  • This case highlights the importance of considering infectious intracranial aneurysms in pediatric patients with neurological symptoms, even with negative cultures.
  • Endovascular techniques offer a viable treatment option for these rare and challenging pediatric vascular lesions.
  • Further research into the pathogenesis and optimal management of childhood infectious aneurysms is warranted to improve patient outcomes.

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