Endovascular treatment of traumatic intracranial aneurysm in an infant. A case report

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

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Published on: October 20, 2017

B Kim1, S K Lee, K G Terbrugge

  • 1Department of Radiology, Catholic University of Korea, Seoul, Korea - bumrad@catholic.ac.kr.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|July 2, 2010
PubMed

Insights

Traumatic intracranial aneurysms are rare in children. This case highlights successful endovascular treatment in an infant with a traumatic aneurysm following minor head trauma, demonstrating feasibility and good recovery.

Area of Science:

  • Pediatric Neurosurgery
  • Vascular Neurology
  • Medical Imaging

Background:

  • Traumatic intracranial aneurysms (TIAs) are uncommon in pediatric populations.
  • They are often associated with severe head injuries like skull fractures or rapid deceleration.

Purpose of the Study:

  • To report a rare case of TIA in an infant following minor head trauma.
  • To describe the successful endovascular management of this pediatric TIA.
  • To emphasize the importance of timely diagnosis and intervention for traumatic aneurysms.

Main Methods:

  • A seven-month-old infant presented with delayed intracranial hemorrhage after minor head trauma.
  • Cerebral angiography revealed a fusiform aneurysm of the right anterior cerebral artery (ACA).
  • Endovascular coiling was employed for aneurysm treatment.

Main Results:

  • The infant experienced delayed intracranial hemorrhage and acute deterioration.
  • Successful endovascular treatment was achieved.
  • The infant showed excellent clinical and radiological recovery during a six-month follow-up.

Conclusions:

  • Delayed intracranial hemorrhage after head trauma in infants necessitates prompt angiography to diagnose traumatic aneurysms.
  • Endovascular treatment is a feasible and safe option for managing traumatic aneurysms in infants.
  • Current coil technology allows for precise occlusion of distal intracranial arterial aneurysms.
Abstract

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