Management of a ruptured intraventricular aneurysm arising from distal anterior choroidal artery (AChA): pediatric case report.
Publication/Presentation Date
5-1-2021
Abstract
Intracranial aneurysms arising from the distal anterior choroidal artery (AChA) are uncommon entities, with less than 30 cases reported. A 4-year-old boy was admitted to the Emergency Department with a sudden onset of severe headache and vomiting. CT scan of the head showed signs of intraventricular hemorrhage (IVH) and subarachnoid hemorrhage (SAH). Cerebral angiography revealed a right AChA aneurysm arising from a distal intraventricular branch with an associated microarteriovenous malformation (microAVM). Following a multidisciplinary assessment, the patient underwent surgical clipping. An ipsilateral transcortical transparietal approach was utilized. Early postoperative deficits were not found, and good clinical and radiological outcomes were assessed at long-term follow-up. Postoperative cerebral angiography showed complete exclusion and resection of both aneurysm and AVM. Surgery for intracranial aneurysms in this location can be challenging; however, good surgical and neurological outcomes can be achieved. The present work highlights the value of multidisciplinary assessment in the decision-making process in complex pediatric neurovascular pathology, especially when facing rare cases like this one, which represents the youngest case of a ruptured distal AChA aneurysm reported in the literature.
Volume
37
Issue
5
First Page
1791
Last Page
1796
ISSN
1433-0350
Published In/Presented At
Feijoo, P. G., Gutiérrez, J. M. S., Martínez, R. F., Alegre, M. S., Sánchez, C. V., & Benito, F. E. C. (2021). Management of a ruptured intraventricular aneurysm arising from distal anterior choroidal artery (AChA): pediatric case report. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 37(5), 1791–1796. https://doi.org/10.1007/s00381-020-04888-w
Disciplines
Medicine and Health Sciences
PubMedID
32930884
Department(s)
Department of Surgery
Document Type
Article