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Super giant globoid intracranial aneurysm in an infant. Case report
Insights
Intracranial aneurysms are rare in infants. A 6-month-old girl with a giant aneurysm of the posterior cerebral artery recovered fully after surgical clipping.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Vascular Surgery
Background:
- Intracranial aneurysms are exceptionally rare in infants, accounting for less than 1% of all cases.
- This case highlights the challenges and successful management of a rare pediatric vascular anomaly.
Observation:
- A 6-month-old female infant presented with progressive macrocephaly and anemia.
- Diagnostic imaging revealed a giant globoid aneurysm (8 x 9 cm) originating from an anomalous posterior cerebral artery.
Findings:
- Surgical intervention involved clipping and excision of the giant aneurysm in two stages.
- The infant experienced an uneventful recovery following the procedure.
Implications:
- This case underscores the importance of considering congenital intracranial aneurysms in the differential diagnosis of infantile macrocephaly and anemia.
- Successful surgical management of such large pediatric aneurysms is feasible, offering a positive prognosis.
Abstract:
The incidence of intracranial aneurysms in infancy is less than 1%. Intracranial arterial aneurysms are very rare in patients under 1 year of age. This 6-month-old baby girl presented with progressive macrocephaly and anemia. Computerized tomography and cerebral angiography demostrated a giant globoid aneurysm, 8 X 9 cm in size, arising from an anomalous posterior cerebral artery. The aneurysm was successfully clipped and excised in two stages. The child made an uneventful recovery. The congenital nature of the aneurysm is discussed, and the literature concerning intracranial aneurysms in patients under 1 year of age is reviewed.