Seki Naohito, Okawa Masakazu, Chihara Hideo, Sawada Masahiro, Funaki Takeshi, Kikuchi Takayuki, Sakai Chiaki, Ikedo Taichi, Arakawa Yoshiki
Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
J Neurosurg Case Lessons. 2025 Jun 30;9(26). doi: 10.3171/CASE25166.
Takayasu arteritis (TA) is a rare, chronic vasculitis primarily affecting the aorta and its major branches. Although intracranial aneurysms associated with TA have been documented, rupture in pediatric patients is exceedingly rare.
The authors report the case of a 14-year-old girl with TA who developed a ruptured cerebral aneurysm. She was successfully treated with endovascular coil embolization and remained neurologically intact at follow-up.
This case highlights the importance of recognizing cerebrovascular complications in TA and demonstrates the feasibility of endovascular management in pediatric patients. https://thejns.org/doi/10.3171/CASE25166.
大动脉炎（TA）是一种罕见的慢性血管炎，主要累及主动脉及其主要分支。虽然与TA相关的颅内动脉瘤已有文献记载，但小儿患者的动脉瘤破裂极为罕见。
作者报告了1例患TA的14岁女孩发生脑动脉瘤破裂的病例。她通过血管内弹簧圈栓塞术获得成功治疗，随访时神经功能保持完好。
该病例突出了认识TA脑血管并发症的重要性，并证明了小儿患者血管内治疗的可行性。https://thejns.org/doi/10.3171/CASE25166 。
