Endovascular Therapy in Paediatric Dissecting Intracranial Aneurysm: A Case Report

Area of Science:

• Pediatric Neurology
• Vascular Neurosurgery
• Neuroradiology

Background:

• Cerebral aneurysms are uncommon in pediatric populations.
• Intracranial hemorrhage in children necessitates a thorough differential diagnosis, including vascular anomalies.
• Trauma history should not preclude the investigation of underlying vascular pathologies.

Observation:

• An 11-month-old infant presented with intracranial bleeding following minor trauma.
• Initial diagnosis of the intracranial bleed did not identify an underlying cerebral aneurysm.
• The missed diagnosis led to a subsequent rebleed event.

Findings:

• The patient required emergent management for a rebled intracranial aneurysm.
• Endovascular coiling was successfully employed as the treatment modality.
• The infant demonstrated a remarkable recovery post-intervention.

Implications:

• Highlights the importance of considering cerebral aneurysms in pediatric intracranial bleeds, irrespective of trauma.
• Emphasizes the critical role of timely diagnosis and intervention in managing pediatric cerebral aneurysms.
• Demonstrates the efficacy of endovascular coiling in treating pediatric cerebral aneurysms, leading to favorable outcomes.