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Multiple middle cerebral artery aneurysms in an infant. Case report
C Cedzich1, J Schramm, G Röckelein
1Neurosurgical Clinic, University of Erlangen-Nuernberg, West Germany.
Journal of Neurosurgery
|May 1, 1990
Summary
A rare case of multiple middle cerebral artery aneurysms in an infant presented with neurological symptoms. Surgical intervention successfully treated the condition, highlighting successful pediatric neurovascular treatment.
Area of Science:
- Pediatric Neurology
- Vascular Neurosurgery
- Cerebral Aneurysm Research
Background:
- Multiple cerebral aneurysms are exceptionally rare in infants.
- Intracranial hemorrhage in children necessitates prompt diagnosis and management.
Observation:
- An 11-month-old boy presented with acute neurological symptoms including drowsiness, vomiting, and convulsions.
- Imaging revealed subarachnoid hemorrhage and an intracerebral hematoma, with angiography identifying multiple aneurysms on the left middle cerebral artery (MCA).
Findings:
- Surgical exploration identified 13 aneurysms originating from a single MCA branch.
- The affected MCA segment was surgically trapped, with no intraoperative neurological compromise indicated by somatosensory evoked potentials.
- Histological examination of the diseased arterial segment provided insights into pathogenesis.
Implications:
- This case underscores the possibility of MCA aneurysms in infancy and the potential for successful surgical outcomes.
- The successful management highlights the importance of advanced neuroimaging and surgical techniques in pediatric neurovascular disease.
- Further research into the etiology and long-term outcomes of pediatric cerebral aneurysms is warranted.