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Aneurysms of the distal anterior cerebral artery in infants
Insights
Infantile cerebral aneurysms are rare, especially in the anterior cerebral artery. This case highlights successful surgical excision of a distal anterior cerebral artery aneurysm in an infant, leading to a positive outcome.
Area of Science:
- Pediatric Neurosurgery
- Cerebrovascular Diseases
Background:
- Cerebral aneurysms are uncommon in infants.
- Aneurysms within the anterior cerebral artery circulation are exceptionally rare, with only seven previously reported cases.
Observation:
- A 7-week-old female infant presented with subarachnoid hemorrhage, intracerebral hemorrhage, and seizures.
- The cause was identified as a saccular aneurysm in the distal anterior cerebral artery.
Findings:
- Surgical excision of the 1.5-cm thrombosed aneurysm was performed.
- The infant experienced a favorable postoperative recovery and achieved normal developmental milestones by 1 year of age.
Implications:
- This case contributes to the limited literature on infantile cerebral aneurysms.
- It underscores the importance of considering rare cerebrovascular pathologies in neonates and infants presenting with neurological symptoms.
- Successful surgical management can lead to excellent long-term outcomes.
Abstract:
Cerebral aneurysms in infants are rare. Of those cases that are reported, only 7 have been identified within the anterior cerebral artery circulation. We report a case of a 7-week-old female who presented with subarachnoid hemorrhage, intracerebral hemorrhage and seizure secondary to a saccular aneurysm of the distal anterior cerebral artery. At surgery, a 1.5-cm thrombosed aneurysm was excised. Postoperatively the child has done well achieving normal milestones at the age of 1 year. We present this case plus a review of the limited number of similar cases found in the literature stressing the presenting signs and symptoms, surgical considerations and outcomes.