Aneurysms of the distal anterior cerebral artery in infants.
Cerebral aneurysms in infants are rare. Of those cases that are reported, only 7 have been identified within the anterior cerebral artery circulation. We report a case of a 7-week-old female who presented with subarachnoid hemorrhage, intracerebral hemorrhage and seizure secondary to a saccular aneurysm of the distal anterior cerebral artery. At surgery, a 1.5-cm thrombosed aneurysm was excised. Postoperatively the child has done well achieving normal milestones at the age of 1 year. We present this case plus a review of the limited number of similar cases found in the literature stressing the presenting signs and symptoms, surgical considerations and outcomes.
Frank
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Department of Surgery, Oregon Health Sciences University, Portland.
Zusman
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D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000601:surgery*; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed