Neonatal cavernous carotid artery aneurysm: case report.
Neonatal intracranial aneurysms are rare. The authors report the case of a 4-week-old girl who presented with left-eye ptosis and proptosis. Computerized tomography scanning and magnetic resonance imaging demonstrated a mass involving the left cavernous sinus and middle cranial fossa. Cerebral angiography revealed a large complex left cavernous carotid artery (CA) aneurysm. The patient underwent endovascular treatment in which detachable coils and N-butyl cyanoacrylate glue were used to achieve complete obliteration of the aneurysm. To the authors' knowledge, this is the first reported neonatal intracranial aneurysm originating from the cavernous CA and treated endovascularly. The authors review the literature on neonatal intracranial aneurysms.
Gallia
Gary L
GL
Departments of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. ggallia1@jhmi.edu
Moore
Carolyn
C
Jordan
Lori
L
Gailloud
Philippe
P
Jallo
George I
GI
D001164:Arteriovenous Fistula / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D002343:Carotid Artery, Internal / Q000002:abnormalities* / Q000473:pathology; D002426:Cavernous Sinus / Q000002:abnormalities* / Q000473:pathology; D002533:Cerebral Angiography; D003097:Collateral Circulation / Q000502:physiology; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D002532:Intracranial Aneurysm / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D014057:Tomography, X-Ray Computed