A thrombosing, giant, distal posterior cerebral artery aneurysm in a newborn infant

Abstract

<jats:p>Intracranial aneurysms are extremely rare in infancy. No consensus has yet been developed about the exact treatment of this rare situation. The authors report the case of a 47-day-old male infant who had multiple seizures on the same day, leading to the diagnosis of an intracranial aneurysm. The case was managed conservatively with close imaging follow-up, and the patient had a good recovery. The results of neurological examination were completely normal at the 5-year follow-up visit.</jats:p> <jats:p>These rare lesions may be suspected on the basis of clinical findings and correctly diagnosed with current neuroradiological imaging modalities. The authors believe this report contributes valuable imaging data on rare childhood aneurysms to the literature, as well as emphasizing the importance of clinical and imaging information in therapeutic decision making in children with intracranial vascular problems.</jats:p>

Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby

“…4,6,8 For instance, Hetts et al evaluated 77 patients with a mean age of 12 years where female and saccular aneurysms were more frequent. 8 Distally located aneurysms, pseudoaneurysm presence, traumatic origin, spontaneous thrombosis, 13,14 seizures and giant aneurysms are also characteristics in this population. 2,3 Despite fusiform aneurysms are frequently found in patients in the first decade of life, 4 in the great majority of these cases the etiology is unknown, ranging from 65 to 90%.…”