Department of Neurosurgery, Mahatma Gandhi Hospital, Jaipur, Rajasthan, India.
Department of Neurology, Mahatma Gandhi Hospital, Jaipur, Rajasthan, India.
Childs Nerv Syst. 2024 Nov;40(11):3869-3872. doi: 10.1007/s00381-024-06558-7. Epub 2024 Aug 2.
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.
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.
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.
儿童脑动脉瘤的发病率较低，占所有脑动脉瘤的比例不到 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缺陷是常见的表现。
我们描述了一例 2 个月大的男性患者，他因全身强直阵挛性癫痫发作持续 4 天就诊。在医院，他通过呼吸机支持、镇静和抗癫痫药物稳定病情。NCCT（头部）显示左额顶颞叶脑实质内出血和蛛网膜下腔出血。随后 CT 血管造影显示左侧 MCA M3 段动脉瘤。患者成功接受了显微镜下夹闭动脉瘤和血肿清除术。
儿科脑动脉瘤与成人脑动脉瘤不同，主要表现在病因和演变上。根据文献，动脉瘤夹闭和神经血管内治疗的结果相似。
