Title: Symptomatic unruptured pediatric intracranial aneurysm poses a

Authors

  • moufid mahfoud Tishreen University

Abstract

Intracranial aneurysms are rare in the pediatric population and constitute less than 2% of all cerebral aneurysms. Relative to their adult counterparts, published series have been few.

The proportion of ruptured aneurysms in patients younger than 15 years is less than 1%.

The occurrence of aneurysms is probably the result of an interplay between congenital factors and hemodynamic stress.

 Our case is a 10-year-old boy suddenly presented to the emergency department complained of severe headache, diplopia and partial ptosis.

There was no history of systemic upset, trauma or relevant medical or surgical history.

Urgent brain CT scan and Brain MRI were performed with normal findings.

The patient was admitted to pediatric ICU for ICP monitoring.

Standard clinical examination and laboratory investigations were done to exclude intracranial infection, toxins and metabolic conditions.

Enhanced CT angiography revealed a 5 mm saccular ICA bifurcation aneurysm on the left side.

Detailed screening and imaging were done to rule out any associated conditions, such as Autosomal dominant polycystic kidney disease (ADPKD), fibro muscular dysplasia, coarctation of aorta, Ehlers syndrome, and Marfans syndrome.

A multi-disciplinary team (MDT) meeting had been held and surgery was recommended after interdisciplinary decision with radiologist and two neurosurgeons.

The patient underwent microsurgical clip ligation of ICA bifurcation aneurysm after 10 days of symptoms. The patient was discharged on day 7 after operation.

Post-procedure CTA showed complete exclusion of the aneurysm from the circulation.

Conclusion

Diagnosis of symptomatic unruptured intracranial aneurysm is challenging. The next challenge is to determine which aneurysms pose a significant risk for future rupture.

The management of pediatric intracranial aneurysms is controversial. A multidisciplinary team is best able to treat such complex conditions.

Key Words: unruptured aneurysm, pediatric intracranial aneurysm, Surgical clipping

Downloads

Published

2023-03-01

How to Cite

1.
محفوض م. Title: Symptomatic unruptured pediatric intracranial aneurysm poses a . Tuj-hlth [Internet]. 2023Mar.1 [cited 2024Apr.28];44(6):65-73. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/14039

Issue

Vol. 44 No. 6 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)