A ruptured middle cerebral artery aneurysm in a 13-month-old boy with Kawasaki disease.
This 13-month-old boy, in whom Kawasaki disease had been diagnosed at the age of 6 months, presented with subarachnoid hemorrhage caused by the rupture of a middle cerebral artery aneurysm. The authors performed an emergency craniectomy and clip occlusion of the aneurysm, which was found to be partially thrombosed. The patient was discharged 4 weeks postoperatively without apparent neurological deficit. Intracranial saccular aneurysms in the pediatric population are rare, and are occasionally associated with various systemic disorders. Kawasaki disease is a systemic vasculopathy of unknown origin, but cerebral arteries are usually spared from the disease process. This is the second case report of a ruptured cerebral aneurysm in a patient with Kawasaki disease, providing a novel clinical feature that the authors call Kawasaki syndrome.
Ahn
Jun Hyong
JH
Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Phi
Ji Hoon
JH
Kang
Hyun-Seung
HS
Wang
Kyu-Chang
KC
Cho
Byung-Kyu
BK
Lee
Ji Yeoun
JY
Kim
Gi Beom
GB
Kim
Seung-Ki
SK
D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D002533:Cerebral Angiography; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis / Q000601:surgery*; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial; D020301:Vasospasm, Intracranial / Q000175:diagnosis