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Intracranial saccular aneurysm in a child with only persistent headache

Olcay Güngör1, Ahmet Kağan Özkaya2, Cengiz Dilber3

  • 1Department of Pediatric Neurology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey drolcaygungor@gmail.com.

Journal of Child Neurology
|August 27, 2014
PubMed

Insights

Headache in children can signal a rare intracranial aneurysm. This case highlights a partially occluded aneurysm in a 5-year-old, emphasizing the need for prompt diagnosis of pediatric brain aneurysms.

Area of Science:

  • Pediatric Neurology
  • Neuroradiology
  • Vascular Neurosurgery

Background:

  • Intracranial aneurysms, though rare in children, can present with non-specific symptoms like persistent headache.
  • Early diagnosis and management are crucial due to potential complications.

Observation:

  • A 5-year-old child presented with persistent headache to the pediatric emergency department.
  • Brain MRI revealed a 7x8 mm lesion in the right medial frontal lobe.

Findings:

  • The lesion showed slow heterogeneous low signal on T2 sequences, consistent with a partially occluded aneurysm.
  • The aneurysm was located near the anterior cerebral artery.

Implications:

  • This case underscores the importance of considering intracranial aneurysms in pediatric patients with persistent headaches.
  • Prompt neuroimaging is essential for diagnosing rare pediatric vascular lesions.
  • Understanding the presentation of pediatric intracranial aneurysms aids in timely intervention and improved outcomes.

Keywords:
aneurysmchildheadache

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