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Bilateral giant cavernous carotid artery aneurysms in a child with juvenile Paget's disease

Tausif Rehman1, Rushna Ali, Christopher Taylor

  • 1Department of Neurosurgery, University of New Mexico, Albuquerque, New Mexico, USA. rehman@salud.unm.edu

World Neurosurgery
|October 12, 2010
PubMed

Insights

Juvenile Paget disease (JPD) is a rare disorder. This report details the first case of JPD with bilateral giant carotid artery aneurysms, successfully treated with bypass and occlusion.

Area of Science:

  • Vascular Surgery
  • Genetics
  • Neurology

Background:

  • Juvenile Paget disease (JPD) is a rare genetic disorder affecting bone, immune, and vascular systems.
  • This report presents the first documented association of JPD with bilateral giant cavernous carotid artery aneurysms in a pediatric patient.

Observation:

  • A child with JPD presented with abducens nerve palsy.
  • Imaging revealed bilateral giant cavernous carotid artery aneurysms.

Findings:

  • The patient underwent successful bilateral superficial temporal artery to middle cerebral artery bypass and endovascular carotid artery occlusion.
  • The patient experienced an event-free recovery with no new neurological deficits.

Implications:

  • This case highlights a previously unreported association between JPD and giant cavernous carotid aneurysms.
  • Optimal management strategies for this rare subgroup require further investigation.
  • Understanding JPD pathophysiology is crucial for managing associated vascular complications.
Abstract

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