Lipper S, Morgan D, Krigman M R, Staab E V
Surg Neurol. 1978 Sep;10(3):161-5.
A 19-day-old neonate presented with a massive intracranial hemorrhage which was found at autopsy to be due to a ruptured intracranial saccular aneurysm. Detailed histologic evaluation revealed that this was a true congenital lesion. A survey of the literature yielded 19 cases of saccular aneurysm in the first year of life. Together with this report, nine cases are now on record, containing sufficient histologic detail to suggest a congenital basis, contrary to the assertion casting doubt on the existence of the entity. Attention is drawn to the practical importance of recognizing this lesion as a rare cause of intracranial hemorrhage in the neonate, since successful surgical intervention has been reported in several cases.
一名19天大的新生儿出现大量颅内出血，尸检发现是由于颅内囊状动脉瘤破裂所致。详细的组织学评估显示这是一个真正的先天性病变。文献检索发现了19例生命第一年出现囊状动脉瘤的病例。连同本报告在内，目前有9例记录在案，包含足够的组织学细节以提示先天性基础，这与对该实体存在表示怀疑的说法相反。需要注意的是，认识到这种病变是新生儿颅内出血的罕见原因具有实际重要性，因为已有几例报告成功进行了手术干预。
