Minimally invasive management of a traumatic artery aneurysm resulting from shaken baby syndrome.
Based on our review of the literature, we present the first use of coiling in an infant with a traumatic artery aneurysm that resulted from shaken baby syndrome. Computed tomography (CT) scans showed a skull fracture, hemorrhagic subdural collections, multiple parenchymal contusions, and intraventricular and subarachnoid hemorrhages in a 3-week-old infant who presented with lethargy, poor feeding, and seizure. These multiple injuries were consistent with shaken baby syndrome. After closed-head injury medical management, including subdural taps, the baby was discharged home. When increasing seizures and hydrocephalus developed 8 months later, CT angiographic scans showed a pseudoaneurysm of the anterior cerebral artery. We successfully occluded the aneurysm with pushable coils placed via a microcatheter and treated the obstructive hydrocephalus with endoscopic third ventriculostomy. We show that minimally invasive radiological and surgical techniques may be effective in managing the sequelae of trauma in children.
Levine
Nicholas B
NB
Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Tanaka
Tomoko
T
Jones
Blaise V
BV
Crone
Kerry R
KR
D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000628:therapy; D007223:Infant; D002532:Intracranial Aneurysm / Q000209:etiology / Q000628:therapy*; D044583:Neuroendoscopy; D038642:Shaken Baby Syndrome / Q000150:complications*; D014696:Ventriculostomy