Traumatic dissecting aneurysm at the vertebrobasilar junction in a 3-month-old infant: evaluation and treatment strategies. Case report.
Intracranial aneurysms in young infants are extremely rare, with few published reports on the etiology, evaluation, treatment strategies, and follow-up of this condition in this population. The authors report the case of a traumatic dissecting aneurysm at the vertebrobasilar junction (VBJ) in a 3-month-old infant caused by nonaccidental trauma. Therapeutic occlusion of the VBJ was contemplated, but coil embolization of the main aneurysm sac proved feasible, and anticoagulation and antiplatelet agents were initiated. The patient made a full neurological recovery, and follow-up studies demonstrated stable aneurysm occlusion. Management and follow-up strategies for this challenging condition are discussed.
Wang
Huan
H
Department of Neurosurgery, Brigham & Women's Hospital, and Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA.
Orbach
Darren B
DB
D000367:Age Factors; D004621:Embolization, Therapeutic; D006801:Humans; D007223:Infant; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D020217:Vertebral Artery Dissection / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*