J Korean Neurosurg Soc.  2023 Nov;66(6):743-747. 10.3340/jkns.2022.0201.

Ruptured Fusiform Anterior Cerebral Artery Aneurysm in an Infant : Case Report and a Literature Review

• Lee W
• Rhim JK
• Joo JD
• Huh JS
• Sim KB
• Chung YN

• KMID: 2547468
• DOI: http://doi.org/10.3340/jkns.2022.0201

Abstract

Ruptured intracranial aneurysms in infants are rare and infantile fusiform anterior cerebral artery (ACA) aneurysms are much rarer. In this report, we described the case of a 7-month-old infant with a ruptured fusiform ACA aneurysm who presented with seizure and underwent endovascular treatment. The patient was initially in a coma and the neurologic condition did not improve after treatment. The clinical characteristics of the case and literature review were discussed.

Keyword

Infant; Fusiform aneurysm, anterior cerebral artery; Subarachnoid hemorrhage

Figure

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  Fig. 1. A non-contrast brain computed tomography (CT) (A and B) revealing subarachnoid hemorrhage at basal cistern and massive intraventricular hemorrhage. CT angiogram (C and D) revealing an aneurysm at proximal A2 segment of anterior cerebral artery.

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  Fig. 2. A : Cerebral angiography for a fusiform aneurysm (arrowheads) and endovascular trapping of left A2 segment of anterior cerebral artery (arrows) were performed. Postoperative cerebral angiograms showed complete occlusion. B : 3D reconstruction image of the aneurysm and adjacent cerebral vessels. C : Postprocedural angiogram showed minimal leptomeningeal collaterals from ipsilateral middle cerebral artery and posterior cerebral artery. D : Schematic diagram of the aneurysm and cerebral vessels.

Reference

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