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Intracranial aneurysm in childhood and interrupted aortic arch
Alp Özgün Börcek1, Emrah Egemen, Günhan Güngör
1Division of Pediatric Neurosurgery, Gazi University Medical School, Beşevler, 06500 Ankara, Turkey.
Insights
Pediatric intracranial aneurysms, though rare, require obliteration. This case highlights a 17-year-old with interrupted aortic arch and multiple aneurysms, successfully treated with surgical clipping.
Area of Science:
- Pediatric Neurosurgery
- Cardiovascular Surgery
- Medical Genetics
Background:
- Intracranial aneurysms are rare in children, often presenting with headache and nausea/vomiting.
- Interrupted aortic arch is a rare congenital cardiovascular defect, potentially leading to lethal outcomes without collateral flow.
- Aortic interruption is an uncommon but serious cause of intracranial aneurysms in pediatric patients.
Background:
Intracranial aneurysms are very rare in children. Headache and nausea/vomiting are the most prominent clinical findings. The only effective treatment is obliteration of aneurysm by surgical or endovascular techniques. Interrupted aortic arch is also a rare, congenital cardiovascular malformation characterized by the lack of continuity between the ascending and descending thoracic aorta. Aortic interruption is an uncommon cause of intracranial aneurysm. The course of disease is lethal unless effective collateral flow develops. Long-term survival may be possible with surgical repair.
Method:
We report on a 17-year-old boy affected with interrupted aortic arch disease and associated multiple intracranial aneurysms. Both aneurysms clipped successfully. After patient had recovered, he referred to cardiovascular surgery for further treatment.
Conclusion:
Surgical or endovascular obliteration remains the main therapy for intracranial aneurysms. Accompanying systemic diseases such as interrupted aortic arch challenge the management of both diseases.
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