ISSN: 2640-7876
Global Journal of Rare Diseases
Clinical Image       Open Access      Peer-Reviewed

Intracranial aneurysm and subarachnoid hemorrhage in a 4-years-old patient

Flávio Ramalho Romero1* and Rodolfo Brum Vieira2

1PhD, Substitute professor of Neurosurgery at São Paulo State University, Botucatu – Brazil; Botucatu Brain and Spine Institute, Brazil
2MD, Neurosurgeon at Botucatu Brain and Spine Institute, Brazil
*Corresponding author: Flavio Ramalho Romero, Department of Neurology and Psychiatry, UNESP, Botucatu, Rubião Junior District no number, Rubião Júnior, Botucatu (SP), Zip code: 18618-970, Brazil, Tel: 3811-6015; E-mail: frromero@ig.com.br
DOI: 10.17352/2640-7876.000014
Received: 31 July, 2019 | Accepted: 16 August, 2019 | Published: 19 August, 2019

Cite this as

Romero FR, Vieira RB (2019) Intracranial aneurysm and subarachnoid hemorrhage in a 4-years-old patient. Glob J Rare Dis 4(1): 009-009. DOI: 10.17352/2640-7876.000014

Pediatric intracranial aneurysm (PIA) is a rare condition, accounting 7% of all intracranial aneurysms. A slight male predominance is observed (two to one) and 25% of lesions are in posterior circulation. PIA should be considered in children with sudden headache and unexplained loss of consciousness. Treatment is challenging and technically demanding comparing with adult cases. Here we present a case of 4-years-old girl with sudden headache and seizures, with CT-scan showing subarachnoid hemorrhage and angio-CT with anterior communicating complex aneurysm. Our choice was microsurgical clipping and outcome was very good [1-5].

Figure 1: Upper images corresponding to CT-scan showing subarachnoid hemorrhage. Inferior images are from Angio-CT, and black arrows show a secular aneurysm in Anterior Communicating Complex Artery.
  1. Yasin JT, Wallace AN, Madaelil TP, Osbun JW, Moran CJ, et al. (2019) Treatment of pediatric intracranial aneurysms: case series and meta-analysis. J Neurointerv Surg 11: 257-264. Link: http://bit.ly/2MlR099
  2. Beez T, Steiger HS, Hanggi D (2016) Evolution of management of intracranial aneurysms in children: a systematic review of the modern literature. J Child Neurol 31: 773-783. Link: http://bit.ly/2YOIJBc
  3. Slator N, Talibi SS, Mundil N, Thomas A, Lamin S, et al. (2019) Paediatric intracranial aneurysms: a British institutional review. Childs Nerv Syst 35: 1197-1205. Link: http://bit.ly/31FnBdF
  4. Kim M, Lee HS, Lee S, Park JC, Ahn S, et al. (2019) Pediatric Intracranial Aneurysms: Favorable Outcomes Despite Rareness and Complexity. World Neurosurg 125: 1203-1216. Link: http://bit.ly/2Mjw2b1
  5. Yasin JT, Wallace AN, Madaelil TP, Osbun J, Moran C, et al. (2019) Treatment of pediatric intracranial aneurysms: case series and meta-analysisJournal of NeuroInterventional Surgery 11: 257-264. Link: http://bit.ly/30cljlS
© 2019 Romero FR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

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