Ruptured cerebral aneurysm in the early stage of life--a congenital origin?

Détails

ID Serval
serval:BIB_B34DA813B282
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Ruptured cerebral aneurysm in the early stage of life--a congenital origin?
Périodique
Neuropediatrics
Auteur(s)
Pollo  C., Meagher-Villmure  K., Bernath  M. A., Vernet  O., Regli  L.
ISSN
0174-304X
Statut éditorial
Publié
Date de publication
08/2004
Peer-reviewed
Oui
Volume
35
Numéro
4
Pages
230-3
Notes
Case Reports
Journal Article --- Old month value: Aug
Résumé
We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III grade); CT angiography showed an aneurysm of the distal A1 segment of the anterior cerebral artery (ACA). Successful treatment was achieved through surgical trapping of the aneurysm and sacrifice of the distal A1 segment. A histological study of the aneurysmal wall revealed the absence of elastic fibers in an otherwise fibromuscular media and showed no signs of previous hemorrhage. Intracranial aneurysms of the ACA are very rare in the early stage of life and their pathogenesis is not clear. This case is of interest as the location and shape of the aneurysm, the absence of relevant familial and medical history, and the histopathological findings raise the hypothesis of a congenital origin. It further describes the value of CT angiography for studying aneurysms in the very young.
Mots-clé
Aneurysm, Ruptured/*etiology/pathology/radiography Anterior Cerebral Artery/*abnormalities Female Humans Infant Intracranial Aneurysm/*congenital/pathology/radiography Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
17/01/2008 15:56
Dernière modification de la notice
20/08/2019 15:21
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