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Published on: August 11, 2015
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.
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.
Abstract:
Intracranial aneurysms in pediatric populations are rare, with a distinct clinical profile compared to adult cases. This case report describes the clinical presentation, diagnosis, and treatment of a nine-month-old male with an intracranial aneurysm. The child presented with convulsions, a depressed sensorium, and subsequent neurological deficits. Initial imaging revealed subarachnoid hemorrhage, and further angiographic studies identified an aneurysm rupture from the parietal branch of the right middle cerebral artery. The patient underwent successful neurosurgical intervention, including right craniotomy and aneurysm clipping. Post-operative recovery was marked by gradual neurological improvement and the absence of further seizures. This case underscores the importance of prompt diagnostic imaging and surgical management in pediatric intracranial aneurysms, contributing to favorable outcomes despite the rarity of the condition in this age group.
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