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Updated: Jun 11, 2025

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

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A rare case of pediatric distal middle cerebral artery aneurysm

Rachel Moor1, Chance Fleeting2, Grace Hey2

  • 1Department of Neurosurgery, University of Florida, Gainesville, FL, USA.

SAGE Open Medical Case Reports
|October 7, 2024
PubMed

Insights

This case report details a rare instance of an unruptured middle cerebral artery aneurysm in a 13-month-old infant. Surgical clip ligation successfully treated this incidental finding, highlighting a unique pediatric neurosurgical case.

Area of Science:

  • Pediatric Neurosurgery
  • Cerebrovascular Diseases
  • Neuroradiology

Background:

  • Middle cerebral artery aneurysms (MCAAs) in children frequently lead to rupture and subarachnoid hemorrhage.
  • Unruptured MCAAs are exceedingly uncommon in infants, posing diagnostic and management challenges.

Observation:

  • A 13-month-old male presented with an incidentally discovered M3 segment aneurysm.
  • The infant had no prior history or symptoms suggestive of cerebrovascular abnormalities.

Findings:

  • The incidental M3 aneurysm was successfully treated with surgical clip ligation.
  • Histopathological analysis confirmed the nature of the aneurysm.

Implications:

  • This case underscores the importance of considering rare cerebrovascular pathologies in pediatric patients, even with incidental findings.
  • Early surgical intervention for unruptured pediatric aneurysms can prevent catastrophic outcomes like hemorrhage.

Keywords:
Middle cerebral arteryintracranial aneurysmpediatrics

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