Successful Surgical Management of a Ruptured Intracranial Aneurysm in a Nine-Month-Old Male: A Rare Pediatric Case

Anirudh Kommareddy1, Ashish Varma1, Keta Vagha1

  • 1Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Cureus
|August 2, 2024
PubMed

Insights

Pediatric intracranial aneurysms are rare but require prompt diagnosis and surgical intervention. This case report highlights successful neurosurgical clipping in a nine-month-old infant, leading to recovery.

Area of Science:

  • Pediatric Neurosurgery
  • Neuroradiology
  • Vascular Neurology

Background:

  • Intracranial aneurysms are uncommon in children, presenting differently than in adults.
  • This report focuses on a rare case of a ruptured intracranial aneurysm in a nine-month-old infant.

Observation:

  • The infant presented with seizures, altered consciousness, and neurological deficits.
  • Imaging confirmed subarachnoid hemorrhage and a ruptured aneurysm of the right middle cerebral artery's parietal branch.

Findings:

  • Neurosurgical intervention via craniotomy and aneurysm clipping was successfully performed.
  • The patient experienced significant neurological improvement post-surgery with seizure resolution.

Implications:

  • Early diagnosis and surgical management are crucial for favorable outcomes in pediatric intracranial aneurysms.
  • This case emphasizes the importance of considering rare vascular pathologies in critically ill infants.