title: Endovascular Therapeutic Occlusion of the Posterior Cerebral Artery: An Option for Ruptured Giant Aneurysm in a Child.
abstract: The incidence of intracranial aneurysms in the pediatric population is low, and surgical clipping remains a good long-term treatment option. However, posterior circulation aneurysms are even more complex to manage in children than in adults. We report a case of a giant aneurysm of the posterior cerebral artery in a 10-year-old boy presenting with subarachnoid hemorrhage. Endovascular treatment with platinum coils was performed with total occlusion of the aneurysm and the affected arterial segment without complications. The patient achieved good recovery, and a late control angiogram confirmed exclusion of the aneurysm. Occurrence of special features of cerebral aneurysm in children, in comparison to adults, is also described. Parent artery sacrifice is an effective therapeutic option, but long-term follow-up is necessary to avoid recurrence and rebleeding.
authors.affiliation: Cajuru University Hospital, Department of Neurosurgery, Pontifical University Catholic of Parana, Curitiba, Brazil.
authors.forename: Zeferino
authors.initials: Z
authors.lastname: Demartini
authors.forename: Luiz Afonso Dias
authors.initials: LA
authors.lastname: Matos
authors.forename: Marcio Luis Tostes
authors.initials: ML
authors.lastname: Dos Santos
authors.forename: Adriane de Andre
authors.initials: Ade A
authors.lastname: Cardoso-Demartini
mesh_terms: D017542:Aneurysm, Ruptured / Q000628:therapy*; D002648:Child; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D020769:Posterior Cerebral Artery; D013345:Subarachnoid Hemorrhage; D060205:Therapeutic Occlusion; D016896:Treatment Outcome