Microsurgical clipping of large MCA aneurysm in a 2-month-old child.

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY Child's Nervous System Pub Date : 2024-11-01 Epub Date: 2024-08-02 DOI:10.1007/s00381-024-06558-7

Anurag Srivastava, Yogesh Kaushik, Tshering Dorjee Sherpa, Anmol Singh Randhawa, B S Sharma, Jitendra Singh Verma

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Abstract

Background: Cerebral aneurysms in children have a low incidence and accounts for less than 4% of all cerebral aneurysms. These aneurysms have been linked to various factors. Severe headache, seizures, and motor-sensory deficits are common presentations.

Case report: We describe the case of a 2-month-old male patient who presented with generalized tonic-clonic seizures for 4 days. At the hospital, he was stabilized with ventilatory support, sedation, and antiepileptic drugs. A NCCT (Head) showed intraparenchymal hemorrhage in the left fronto-parieto-temporal lobe and subarachnoid hemorrhage. Subsequently a CT angiogram revealed an aneurysm of the left M3 segment of MCA. Successfully, the patient underwent microsurgical clipping of aneurysm and evacuation of hematoma.

Conclusions: Pediatric cerebral aneurysms differ from their adult counterparts, mainly in their etiology and evolution. As per literature, aneurysmal clipping and neurological endovascular therapy have shown similar results.

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用显微外科手术切除一名 2 个月大儿童的大型 MCA 动脉瘤。

背景：儿童脑动脉瘤的发病率很低，不到所有脑动脉瘤的 4%。这些动脉瘤与各种因素有关。严重头痛、癫痫发作和运动感觉障碍是常见的表现形式：我们描述了一名 2 个月大的男性患者的病例，他出现全身强直-阵挛性抽搐 4 天。在医院，他接受了呼吸机支持、镇静和抗癫痫药物治疗，病情得到稳定。NCCT（头部）显示左侧额叶-颞叶实质内出血和蛛网膜下腔出血。随后的 CT 血管造影显示，左侧 MCA M3 段有动脉瘤。患者成功地接受了显微外科手术切除动脉瘤并清除血肿：结论：小儿脑动脉瘤与成人动脉瘤不同，主要体现在病因和演变上。根据文献记载，动脉瘤夹闭术和神经血管内治疗的效果相似。

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来源期刊

Child's Nervous System 医学-临床神经学

CiteScore

3.00

自引率

7.10%

发文量

322

审稿时长

3 months

期刊介绍： The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.