[Neonatal intracranial haemorrhage secondary to spontaneous rupture of an aneurysm. Illustrative case and literature review].
BACKGROUND
Intracranial arterial aneurysms are little frequent among the pediatric age group but the frequency is still lower in children under 1 year of age and extremely rare in neonates. We present a case, review literature and propose common characteristics and management of this pathology.


METHODS
A term newborn suffered reduction of the level of conscience. After brain ultrasound examination and CT scan was diagnosed with intraparenchymatous hematoma on the 7th day of life. Intraoperative, after evacuation of this hematoma, we discovered, clipped and extirpated a middle cerebral artery aneurysm without any problems. The patient's evolution was satisfactory only presenting a slight paresia of his right arm.


CONCLUSIONS
We review the literature and find 16 cases of neonatal intracranial arterial aneurysms. Mortality rate is about 50%, but keeping in mind better survivals with surgical treatment in the last years. Thus we conclude, when it is possible, in favour of a surgical and precocious treatment of these neonatal aneurysm.
González-Bonet
Luis G
LG
Servicio de Neurocirugía, Hospital de la Ribera, Carretera Corbera km. 1, Alzira, Valencia, Spain. gonzalez_luibon@gva.es
Ollero-Ortiz
Angela
A
Giménez-Pando
Jorge
J
Márquez-Rivas
Javier
J
D017542:Aneurysm, Ruptured / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D002532:Intracranial Aneurysm / Q000150:complications*; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male