Lyon Kristopher A, Arrey Eliel N, Haider Ali S, Jeevan Dhruve S, Benardete Ethan A
Department of Neurosurgery, Scott and White Medical Center, Texas A&M University Health Science Center College of Medicine, Temple; and.
University of Texas Health Science Center, McGovern Medical School, Houston, Texas.
J Neurosurg Pediatr. 2017 Oct;20(4):357-363. doi: 10.3171/2017.5.PEDS17116. Epub 2017 Aug 4.
Ruptured intracranial aneurysms are extremely rare in infants. The optimal treatment strategy is not well established. Both microsurgical and endovascular techniques and strategies have been tried, and in the literature there is a significant variability in outcome. The authors report the presentation and successful endovascular treatment of a large, ruptured, middle cerebral artery bifurcation aneurysm in a 5-week-old girl, one of only a few reported in the literature. Clinical and radiological findings at follow-up are also presented. The authors then review the literature on aneurysmal subarachnoid hemorrhage in infants, with particular regard to outcome after either endovascular or open surgical management. They also provide recommendations for follow-up in pediatric patients whose intracranial aneurysms have been treated with coil embolization.
颅内动脉瘤破裂在婴儿中极为罕见。最佳治疗策略尚未明确确立。显微外科手术和血管内治疗技术及策略均已尝试，且文献报道的治疗结果差异很大。作者报告了一名5周龄女孩大脑中动脉分叉处大型破裂动脉瘤的临床表现及成功的血管内治疗，这是文献中仅有的少数报道之一。还介绍了随访时的临床和影像学检查结果。作者随后回顾了关于婴儿动脉瘤性蛛网膜下腔出血的文献，特别关注血管内或开放手术治疗后的结果。他们还为接受线圈栓塞治疗颅内动脉瘤的儿科患者提供了随访建议。
