Infectious aneurysm of the cavernous carotid artery in a child treated with a new-generation of flow-diverting stent graft: case report.
OBJECTIVE
To report a unique case of wide-necked mycotic cerebral aneurysm treated with a new generation of intracranial stent.


METHODS
A 10-year-old girl presented with meningitis complicated by an infectious intracavernous large aneurysm revealed by cranial nerve palsy.


METHODS
The aneurysm was treated by a new-generation, flow-diverting, endoluminal implant (SILK; BALT EXTRUSION, Montmorency, France) placed across the aneurysm neck without coiling. Angiographic controls showed complete thrombosis of the aneurysmal sac with dramatic improvement of symptoms a couple of weeks after the procedure. Follow-up magnetic resonance imaging and digital subtraction angiography 3 months after the procedure, confirmed total occlusion of the aneurysm with normal circulation in the parent vessel


CONCLUSIONS
This is a simple and highly effective way to exclude an aneurysm from the parent vessel without the difficulties observed with the semi-rigid stents. Flow-disrupting stent grafting may be a safe and effective alternative treatment for large intracranial aneurysms.
Appelboom
Geoffrey
G
Department of Neuroradiology, Hôpital Roger Salengro, University Hospital Lille, Lille, France.
Kadri
Khaled
K
Hassan
Farouk
F
Leclerc
Xavier
X
D000785:Aneurysm, Infected / Q000150:complications / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D002648:Child; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008279:Magnetic Resonance Imaging
D020099:Coated Materials, Biocompatible