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Giant Aneurysm Arising from Anomalous Branch of the Middle Cerebral Artery in a Pediatric Patient: Case Report and Review of the Literature.
- Source :
-
World neurosurgery [World Neurosurg] 2019 Aug; Vol. 128, pp. 165-168. Date of Electronic Publication: 2019 May 10. - Publication Year :
- 2019
-
Abstract
- Background: Pediatric intracranial aneurysms are extremely rare. In this age group, cerebral vascular anomalies have been associated with the development of intracranial aneurysms.<br />Case Description: We present a case of a previously well 11-year-old boy who presented with seizures secondary to a giant, unruptured, and partially thrombosed right middle cerebral artery (MCA) aneurysm. Extensive workup for underlying infective and autoimmune etiology was negative. Of interest, this vascular lesion was found to originate from an anomalous M2 branch, which ran an aberrant parallel course within the Sylvian fissure to the main and distally bifurcating MCA. The patient underwent successful surgical clipping and excision of the giant aneurysm.<br />Conclusions: Because of the infrequency of the diagnosis, clinical presentation, and its unique neurovascular anatomy, the management of this case is discussed in corroboration with current literature. In addition, highlighting this unusual case in an individual adds to the growing body of literature for better disease understanding, especially in the pediatric population.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Central Nervous System Vascular Malformations complications
Cerebral Angiography
Child
Humans
Intracranial Aneurysm complications
Intracranial Aneurysm pathology
Intracranial Aneurysm surgery
Intracranial Thrombosis complications
Intracranial Thrombosis pathology
Intracranial Thrombosis surgery
Male
Middle Cerebral Artery abnormalities
Middle Cerebral Artery surgery
Tomography, X-Ray Computed
Central Nervous System Vascular Malformations diagnostic imaging
Intracranial Aneurysm diagnostic imaging
Intracranial Thrombosis diagnostic imaging
Middle Cerebral Artery diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 128
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 31082559
- Full Text :
- https://doi.org/10.1016/j.wneu.2019.05.012