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Updated: Jun 4, 2026

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
Published on: August 30, 2020
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.
Abstract:
Intracranial arterial aneurysms in children are very rare. The authors present the clinical and neuroradiological findings in a 12-year-old child with subarachnoid and intraventricular hemorrhage related to posterior communicating artery aneurysm. The aneurysm was successfully treated with endovascular coiling. The literature regarding this topic is reviewed and the management of subarachnoid hemorrhage in children is discussed.
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