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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

Supraclinoid Internal Carotid Arterial Aneurysm Presenting as a Suprasellar Mass-like Lesion in a Child

D C Suh1, H Alvarez, C S Rose

  • 1Radiology Department, Ulsan University; Seoul, South Korea - pierre.lasjaunias@bct.ap.hop.paris.fr.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|July 29, 2010
PubMed

Insights

A pediatric giant aneurysm in the internal carotid artery caused headaches and vision loss. Endovascular obliteration led to successful aneurysm regression, confirmed by MRI.

Area of Science:

  • Pediatric Neurology
  • Vascular Neurosurgery
  • Endovascular Therapy

Background:

  • Giant aneurysms are rare in children.
  • Supraclinoid internal carotid artery aneurysms can present with mass effect symptoms.
  • Aneurysms may mimic other suprasellar lesions like craniopharyngioma.

Purpose of the Study:

  • To report a case of a partially-thrombosed giant lobulated aneurysm in a pediatric patient.
  • To discuss the diagnostic challenges and endovascular management of such cases.
  • To highlight the successful outcome of endovascular obliteration and aneurysm regression.

Main Methods:

  • Case presentation of a 2-year-old boy with progressive headache and visual loss.
  • Diagnostic imaging including CT, revealing a suprasellar mass.
  • Successful endovascular obliteration of the aneurysm.

Main Results:

  • The lesion was identified as a partially-thrombosed giant lobulated aneurysm.
  • Endovascular obliteration was technically successful.
  • Follow-up MRI confirmed regression of the aneurysm.

Conclusions:

  • Giant aneurysms in the supraclinoid internal carotid artery are a rare but significant cause of neurological deficits in children.
  • Endovascular treatment is a viable and effective option for managing pediatric giant aneurysms.
  • Prompt diagnosis and intervention can lead to favorable outcomes and regression of the aneurysm.
Abstract

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