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[Giant intracranial aneurysm in a 9 year-old child. Case report]
J F Araújo1, R K Santori, A Sperlescu
1Departamento de Neuro-Psiquiatria da Faculdade de Clências Médicas da Pontifícia Universidade Católica de Campinas, Brasil.
Insights
A rare case of intracranial hemorrhage in a 9-year-old girl caused by a giant middle cerebral artery aneurysm highlights unique pediatric cerebrovascular conditions. This finding underscores the importance of considering large peripheral aneurysms in pediatric stroke evaluations.
Area of Science:
- Pediatric Neurology
- Cerebrovascular Diseases
- Neurosurgery
Background:
- Cerebral aneurysms are uncommon in children, especially under age 10.
- Childhood aneurysms often affect peripheral arterial branches.
- Giant aneurysms are more prevalent in pediatric cases.
Observation:
- A 9-year-old female presented with intracranial hemorrhage.
- The hemorrhage was attributed to a giant aneurysm of the distal middle cerebral artery.
- This represents a rare occurrence in pediatric neurovascular pathology.
Findings:
- Giant aneurysms of the middle cerebral artery are a significant cause of hemorrhage in children.
- Pediatric cerebral aneurysms exhibit distinct characteristics compared to adult counterparts.
- Early identification and management are crucial for favorable outcomes.
Implications:
- This case emphasizes the need for heightened awareness of peripheral giant aneurysms in pediatric intracranial hemorrhage.
- Understanding the pathogenesis of pediatric cerebral aneurysms can guide diagnostic and therapeutic strategies.
- Further research into pediatric cerebrovascular lesions is warranted to improve patient care.
Abstract:
The case of a 9-year-old girl with intracranial hemorrhage due to a giant aneurysm of distal middle cerebral artery is reported. Cerebral aneurysms are rare in children, particularly in the first decade of life. Aneurysms in childhood occur more frequently in peripheral branches and they are more often giant in size. Clinical features and pathogenesis of this lesion are discussed.