Subarachnoid hemorrhage secondary to ruptured posterior communicating artery aneurysm in a child

Maria Varela1, Maria Gavra, Alexandros Andreou

  • 1Department of Neurosurgery, Children's Hospital Agia Sofia, Athens, Greece.

Insights

Pediatric intracranial arterial aneurysms are rare. This case study details a 12-year-old treated successfully for a posterior communicating artery aneurysm causing hemorrhage, highlighting management strategies.

Area of Science:

  • Pediatric neurology
  • Neurosurgery
  • Vascular neurology

Background:

  • Intracranial arterial aneurysms are uncommon in pediatric populations.
  • Subarachnoid hemorrhage (SAH) in children necessitates prompt diagnosis and management.
  • Posterior communicating artery aneurysms, though rare, pose significant risks.

Observation:

  • A 12-year-old presented with symptoms of subarachnoid and intraventricular hemorrhage.
  • Neuroradiological imaging confirmed a posterior communicating artery aneurysm as the source.
  • The patient experienced acute neurological decline due to the hemorrhage.

Findings:

  • Successful endovascular coiling treatment was performed for the aneurysm.
  • The child's hemorrhage was effectively managed post-intervention.
  • Clinical and neuroradiological outcomes were favorable after treatment.

Implications:

  • This case underscores the importance of considering aneurysms in pediatric hemorrhage.
  • Endovascular coiling presents a viable treatment option for pediatric intracranial aneurysms.
  • Further research into pediatric SAH management is warranted to optimize patient outcomes.

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