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Atypical cerebral aneurysm in a young child
W E Stehbens1, H J Manz, R Uszinski
1Department of Pathology, Wellington School of Medicine, New Zealand.
Pediatric Neurosurgery
|January 1, 1995
Summary
An autopsy revealed an atypical, likely infective (mycotic) aneurysm in a child's cerebral artery. The inflammation suggested a resolving infection, indicating this condition may become more common.
Area of Science:
- Neurology
- Pediatric Pathology
- Infectious Diseases
Background:
- Atypical cerebral aneurysms in children are rare.
- Infective (mycotic) aneurysms often present with subtle or atypical symptoms.
Observation:
- Autopsy examination of a young child with a large cerebral artery aneurysm.
- Initial symptoms were attributed to a sinus infection, with a prior leakage event.
Findings:
- The aneurysm was histologically consistent with a resolving infective (mycotic) aneurysm.
- Subacute pleomorphic inflammatory cell response in the sac wall indicated healing.
Implications:
- This case highlights the importance of considering mycotic aneurysms in pediatric cerebrovascular pathology.
- The findings suggest that infective aneurysms may be an emerging clinical challenge in pediatric neurology.