Treatment of a Giant Fusiform Basilar Aneurysm with Partial Intra-Aneurysmal Embolization Combined with Mid-Basilar Artery Occlusion in a Child

You, Jie-Yu; Ma, Zhanjun; Zhang, F.; Li, G.

doi:10.1007/s00062-015-0451-6

Cited by 1 publication

(1 citation statement)

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“…Though it has its own merits, in the case of posterior circulation aneurysms, it is by no means without inherent risks. For instance, in addition to late thrombosis of the flow diverter device, there is also the potential risk for delayed thrombosis and late rupture or hemorrhage of the aneurysms itself [22, 23]. Thus, flow diversion may not necessarily be the safest or most definitive treatment strategy in cases such as the current one; therefore, we opted for sacrificing distal P3 during coiling of the culprit lesion.…”

Section: Discussionmentioning

confidence: 99%

Acute Obstructive Hydrocephalus due to a Giant Posterior Cerebral Artery Aneurysm in a Pediatric Patient

et al. 2018

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Introduction: Intracranial aneurysms are very rare in children. Although subarachnoidal hemorrhage (SAH) is by far the most common presentation of aneurysms in the majority of the pediatric case series, it is not rare for an unruptured aneurysm to present with a mass effect. Acute hydrocephalus is a common finding following aneurysmal SAH. However, this malady may develop even in the absence of SAH but secondary to direct obstruction by a giant aneurysm. This situation is extremely rare in children, with only a few known case reports in the literature. Case Report: We report the case of a 10-year-old girl who presented with signs and symptoms of acute hydrocephalus; further radiological evaluation revealed obstructive hydrocephalus and a giant posterior cerebral artery aneurysm. Following endovascular treatment of the aneurysm, hydrocephalus was completely resolved, and the patient was symptom free. Conclusion: Although they are very rare, giant intracranial aneurysms must be kept in mind during the differential diagnosis of pediatric acute hydrocephalus cases. Hydrocephalus may resolve spontaneously after the successful treatment of these aneurysms.

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Section: Discussionmentioning

confidence: 99%