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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

14.1K

Infantile intracranial aneurysm of the superior cerebellar artery

Molly Ann Del Santo1, Steve Mario Cordina1

  • 1Department of Neurology, University of South Alabama, Mobile, Alabama, USA.

Journal of Neurointerventional Surgery
|March 5, 2016
PubMed

Insights

Pediatric intracranial aneurysms are rare but serious. This case highlights successful endovascular embolization of a superior cerebellar artery aneurysm in a 3-month-old infant, emphasizing early treatment for better outcomes.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Vascular Neurology

Background:

  • Intracranial aneurysms are uncommon in infants and children.
  • Presentation can be subtle, including symptoms like inconsolable crying and vomiting.

Purpose of the Study:

  • To report a rare case of a superior cerebellar artery aneurysm in a 3-month-old infant.
  • To illustrate the successful management and treatment of pediatric intracranial aneurysms.

Main Methods:

  • Computed tomography (CT) and CT angiography were used for diagnosis.
  • Acute hydrocephalus was managed with an external ventricular drain.
  • Endovascular embolization using microcoils was performed for definitive treatment.

Main Results:

  • A subarachnoid hemorrhage secondary to a superior cerebellar artery aneurysm was identified.
  • Successful embolization of the aneurysm was achieved.
  • No subsequent vasospasm was detected via transcranial Doppler.

Conclusions:

  • Intracranial aneurysms in pediatric patients, though rare, require prompt diagnosis and intervention.
  • Endovascular techniques offer a viable and effective treatment option.
  • Early treatment is associated with improved patient outcomes.

Keywords:
AneurysmCoilHemorrhagePediatricsSubarachnoid

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