Case report: Anterior cerebral artery pediatric fusiform thrombosed giant aneurysm

Ikeuchi, Yusuke; Koyama, Junji; Azumi, Mai; Akutsu, Nobuyuki; Kawamura, Atsufumi; Kohmura, Eiji

doi:10.1016/j.inat.2019.100561

Cited by 4 publications

(16 citation statements)

References 41 publications

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“…Intra cranial aneurysms (IAs) represents only 0.5 to 4.6% in pediatric population, with male to female ratio of 1.1:1 to 2.8:1 11,6 . In our series they constitute of about 4.4% of all aneurysms treated at our center.…”

Section: Discussionmentioning

confidence: 99%

“…Overall pediatric population have better favorable outcome than adults 11 . But higher recurrence rate and more de novo formation are important considerationsespecially in case of dissecting and fusiform aneurysm 9 .…”

Section: Recurrence and Complicationsmentioning

confidence: 92%

“…Seizure and head ache as a presenting feature of IAs, is commoner in children than in adults 7,21 , but as these aneurysms become larger, compressive features like cranial nerve palsy, focal neurological de cits also become evident. Interestingly, cerebral infarction can also be a presenting feature of IAs, specially in case of dissecting aneurysm arising from A2 segment of anterior cerebral artery (ACA) 11 . The classic presentation of traumatic IAs is hemorrhagic episodes 2-4 weeks after a history of trauma 16 .…”

Section: Presentationmentioning

confidence: 99%

“…Dissecting and fusiform aneurysms are more commonly encountered than in adults 1 . Furthermore, aneurysms tend to be larger with more tendencies to have spontaneous thrombosis than adults 11 .…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Managent of Supra and Infra Tentorial Pediatric Intracranial Aneurysms: A Single Center Experience

Purkayastha

NATH

MOHAMMAD

et al. 2022

Preprint

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Intracranial aneurysms are rare in pediatric population. They have different pathophysiology, location, type, outcome than adults. Long life expectancy, denovo occurrence and their tendency to recur necessitate the long term follow up in these cases. Here we summarize our experience in treating these aneurysms in a tertiary care hospital from 2014 to 2021. We found 4% of our total aneurysm population to be under 18 years with a male to female ratio of 1.5:1. 13.3% patients had multiple aneurysms and 38.9% had posterior circulation aneurysms. Most common site of aneurysm was ICA bifurcation. Most of the patients were treated endovascularly with favorable outcome at follow up.

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Section: Discussionmentioning

confidence: 99%

Section: Recurrence and Complicationsmentioning

confidence: 92%

Section: Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endovascular Managent of Supra and Infra Tentorial Pediatric Intracranial Aneurysms: A Single Center Experience

Purkayastha

NATH

MOHAMMAD

et al. 2022

Preprint

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“…[ 15 ] In our review, we observed five reported cases which the contrast MRI modality was not decisive in their diagnosis and was only suggestive of an abnormal formation. [ 7 10 13 14 15 17 ] Although PTIA seems to be challenging in management and sometimes needs initiative approaches through the treatment, the literature indicated that more than 78% of the patients have had a favorable outcome after the treatment.…”

Section: Case Reportmentioning

confidence: 99%

“Fountain Sign,” a basic finding toward the diagnosis of partially thrombosed giant aneurysm: Describing a challenging case and literature review

2020

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Although the occurrence of cerebral aneurysms in pediatric age group describes as rare, giant ones are more commonly be found than in adults. Insufficient epidemiological information, their association with other medical comorbidities, diagnostic pitfalls, complex surgical anatomy, and issues should be considered during surgery to make them difficult to diagnose and manage. We report a 6-year-old boy with presenting complaint of acute-onset headache without any other symptoms and a small area of intracerebral hemorrhage detected on initial computed tomography (CT) scan. Primary evaluations failed to result in a definite diagnosis, and delayed vascular studies suggested vascular malformation or an aneurysm as the causative factor of hemorrhage. Surgical exploration led to the diagnosis of a giant partially thrombosed aneurysm at the A2 segment of the left anterior cerebral artery and successful clipping. One of our findings on preoperative CT angiography, “fountain sign,” may be useful for the diagnosis of partially thrombosed aneurysms when active bleeding from the aneurysm has been ruled out. Fountain sign can be a useful finding in the diagnosis of partially thrombosed aneurysms. Vascular lesions should always be considered as the primary cause of intracranial hemorrhage in pediatrics despite negative initial studies. Therefore, close follow-up and using delayed and multimodality vascular evaluations are crucial for successful management.

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Endo Vascular Management of Supra and Infra Tentorial Pediatric Intracranial Aneurysms; A Single Center Experience

2023

JPNB

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Case report: Anterior cerebral artery pediatric fusiform thrombosed giant aneurysm

Cited by 4 publications

References 41 publications

Endovascular Managent of Supra and Infra Tentorial Pediatric Intracranial Aneurysms: A Single Center Experience

Endovascular Managent of Supra and Infra Tentorial Pediatric Intracranial Aneurysms: A Single Center Experience

“Fountain Sign,” a basic finding toward the diagnosis of partially thrombosed giant aneurysm: Describing a challenging case and literature review

Endo Vascular Management of Supra and Infra Tentorial Pediatric Intracranial Aneurysms; A Single Center Experience

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