A Pediatric Patient With a Dissecting Thrombotic Anterior Choroidal Artery Aneurysm: Case Report

被引：10

作者：

Shih, Patrick ^{[2
]}

Pinnaduwage, Tilina ^{[1
]}

Hu, Leland S. ^{[1
]}

Spetzler, Robert F. ^{[2
]}

机构：

[1] St Josephs Hosp, Div Radiol, Phoenix, AZ 85013 USA

[2] St Josephs Hosp, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ USA

来源：

NEUROSURGERY | 2010年 / 67卷 / 02期

关键词：

Aneurysm; Cerebral; Intracranial; Pediatric; INTRACRANIAL ANEURYSMS; SUBARACHNOID HEMORRHAGE; CLINICAL CHARACTERISTICS; DISAPPEARANCE; CHILDREN;

D O I：

10.1227/01.NEU.0000371986.84423.DE

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. CLINICAL PRESENTATION: The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. INTERVENTION: An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. CONCLUSION: This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.

引用

页码：E518 / U370

页数：3

共 22 条

[1] REBLEEDING FROM INTRACRANIAL DISSECTING ANEURYSM IN THE VERTEBRAL ARTERY [J].

AOKI, N ;

SAKAI, T .

STROKE, 1990, 21 (11) :1628-1631

[2] GIANT MIDDLE CEREBRAL ANEURYSM PRESENTING AS HEMIATHETOSIS IN A CHILD AND ITS SPONTANEOUS THROMBOSIS [J].

CHOUDHURY, AR ;

ALAMIRI, NH ;

ALMOUTAERY, KR ;

AABED, M ;

STRELLING, MK .

CHILDS NERVOUS SYSTEM, 1991, 7 (01) :59-61

[3]

HERMAN J M, 1991, Pediatric Neurosurgery, V17, P66, DOI 10.1159/000120570

[4] Intracranial aneurysms in the pediatric population: case series and literature review [J].

Huang, J ;

McGirt, MJ ;

Gailloud, P ;

Tamargo, RJ .

SURGICAL NEUROLOGY, 2005, 63 (05) :424-433

[5] Cerebral vasculopathy with aneurysm formation in HIV-infected young adults [J].

Kossorotoff, M ;

Touzé, E ;

Godon-Hardy, S ;

Serre, I ;

Mateus, C ;

Mas, JL ;

Zuber, M .

NEUROLOGY, 2006, 66 (07) :1121A-1122

[6] Intracranial aneurysms in patients 18 years of age or under, are they different from aneurysms in adult population? [J].

Krishna, H ;

Wani, AA ;

Behari, S ;

Banerji, D ;

Chhabra, DK ;

Jain, VK .

ACTA NEUROCHIRURGICA, 2005, 147 (05) :469-476

[7]

Kurata A, 2001, AM J NEURORADIOL, V22, P11

[8] Intracranial aneurysms in children aged under 15 years: review of 59 consecutive children with 75 aneurysms [J].

Lasjaunias, P ;

Wuppalapati, S ;

Alvarez, H ;

Rodesch, G ;

Ozanne, A .

CHILDS NERVOUS SYSTEM, 2005, 21 (06) :437-450

[9]

Loevner LA, 1998, AM J NEURORADIOL, V19, P386

[10] Spontaneous healing and complete disappearance of a giant basilar tip aneurysm in a child [J].

Luo, CB ;

Chen, YL ;

Hsu, SW ;

Alvarez, H ;

Rodesch, G ;

Lasjaunias, P .

INTERVENTIONAL NEURORADIOLOGY, 2001, 7 (02) :141-145

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