[Intracerebral hematoma from a large aneurysm of the middle cerebral artery in infancy].
The article reports on a large aneurysm of the tunica media vasorum with intracerebral haematoma in an infant of the age of 4 1/2 weeks and on the successful treatment by removal of the haematoma and extirpation of the aneurysm. The rare space-occupying lesion of the central organ seemed to point first of all to a peripheral disease due to the very unusual and highly special course in the infant; a gastrointestinal disorder seemed to be responsible for this phenomenon. It was only after observing mild convulsive manifestations that sonography was employed as a diagnostic tool, and thus the central disturbance was identified and its localisation and genesis demonstrated via computed tomography and angiographic diagnosis. Attention is drawn to the outstanding "search method" of noninvasive sonography via the still open fontanelle of the infant. This method should be employed if there is even the slightest suspicion of cerebral disease. A study of the literature shows clearly the superiority of the modern methods such as computed tomography and digital subtraction angiography over a femoralis catheter. The literature includes in particular two cases that occurred in the sixties of the present century and were comparable with that of our infant; at that time, the authors of those publications did not yet command over our present-day methods.
Gruss
P
P
Neurochirurgische Abteilung, Krankenhaus der Barmherzigen Brüder, Kinderklinik St. Hedwig, Regensburg.
Gerhart
G
G
Heindl
R
R
Mann
E
E
D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed
Intrazerebrales Hämatom aus grossem Mediaaneurysma im Säuglingsalter.