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[A completely thrombosed giant aneurysm in an infant]
H J Synowitz1, R Flügel, J Kunz
1Neurochirurgische Abteilung, Institut für Pathologie am Bezirkskrankenhaus.
Zentralblatt Fur Neurochirurgie
|January 1, 1989
Summary
A rare pineal region aneurysm in a 16-month-old boy was successfully removed. This intervention relieved obstructive hydrocephalus, improving the patient's condition.
Area of Science:
- Pediatric Neurosurgery
- Vascular Neurology
- Cerebrovascular Anatomy
Background:
- Aneurysms in the pineal region are rare, particularly in pediatric patients.
- Obstructive hydrocephalus can result from cerebrospinal fluid pathway compression.
Observation:
- A 16-month-old boy presented with clinical symptoms of pressure hydrocephalus.
- Cerebrospinal fluid flow was occluded at the level of the aquaeductus, causing hydrocephalus.
- A completely thrombosed aneurysm was identified in the midline pineal region.
Findings:
- Surgical extirpation of the thrombosed pineal aneurysm was successfully performed.
- Histological examination revealed aneurysm wall necrosis with elastin-like proteins and connective tissue.
- Post-operative reduction in hydrocephalus symptoms was observed.
Implications:
- Successful surgical management of pediatric pineal region aneurysms is feasible.
- Understanding the histological features of these aneurysms aids in diagnosis and treatment planning.
- This case highlights the importance of considering rare vascular lesions in pediatric hydrocephalus.