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Features of intracranial aneurysms in infants and report of a case
Insights
Infantile brain aneurysms, often large and peripheral, can cause seizures. Surgical clipping in this infant case led to a full neurological recovery, highlighting potential treatment success.
Area of Science:
- Pediatric Neurology
- Cerebrovascular Surgery
- Neuroradiology
Background:
- Infantile cerebral aneurysms are rare but present unique challenges.
- These aneurysms are often larger, more peripheral, and associated with seizures compared to adult counterparts.
- Anterior circulation involvement is common in pediatric cases.
Abstract:
An 11-month-old girl presented with seizures, papilledema and a left hemiparesis. Radiographic examination revealed a saccular right middle cerebral-artery aneurysm. Clipping was performed 16 days after admission. At follow-up a year later there was no residual neurological deficit. Aneurysms occurring in infants are relatively large and more peripheral in location compared with adults, and frequently are accompanied by seizures. Infants' aneurysms also tend to occupy the anterior circulation distribution, and their peripheral location may make them more amenable to surgical intervention.