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A case report of a pediatric traumatic aneurysm with arteriovenous (A-V) fistula CASE-BASED UPDATE

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Abstract

Background

Traumatic intracranial aneurysms (TICAs) are rare, representing less than 5 % of all intracranial aneurysms. Most TICAs are located within the anterior circulation, and less than 10 % of TICAs occur in the posterior circulation. Histopathologically, most TICAs are false aneurysms and have a high risk of rupture or re-bleeding. When they are discovered, careful observation or treatment may be required. Once they are enlarged, they have a high risk of rupture, and immediate treatment is essential.

Case report

For the first time in the literature, we report a rare case of an 8-year-old boy with a TICA in anterior inferior cerebellar artery (AICA) and arteriovenous (A-V) fistula after severe head trauma. Trapping of AICA and resection of the aneurysm was performed. Postoperatively, he has peripheral facial palsy but is otherwise neurologically normal.

Conclusion

Surgical treatment for traumatic aneurysms is challenging because most of TICAs are histopathologically pseudoaneurysms. It may be technically difficult to perform direct surgery of aneurysms especially located in the posterior circulation, but when the treatment is successful, the outcome was favorable.

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Acknowledgments

We thank David Huang for their guidance and staff of the Department of Neurosurgery, Tokyo Women’s Medical University, in preparing this paper.

Funding

This study was supported by research funds of the Department of Neurosurgery, Tokyo Women’s Medical University.

Conflict of interest

The authors have no personal financial or institutional interest in any of the materials or devices described in this article.

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Authors and Affiliations

  1. Department of Neurosurgery, Tokyo Women’s Medical University, 8-1 Kawada-cho Shinjuku-ku, Tokyo, 162-8666, Japan

    Hidenori Anami, Yasuo Aihara, Akitsugu Kawashima, Koji Yamaguchi, Ayumi Nagahara & Yoshikazu Okada

Authors
  1. Hidenori Anami
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  2. Yasuo Aihara
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  3. Akitsugu Kawashima
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  4. Koji Yamaguchi
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  5. Ayumi Nagahara
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  6. Yoshikazu Okada
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Corresponding author

Correspondence to Yasuo Aihara.

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Anami, H., Aihara, Y., Kawashima, A. et al. A case report of a pediatric traumatic aneurysm with arteriovenous (A-V) fistula CASE-BASED UPDATE. Childs Nerv Syst 30, 2003–2008 (2014). https://doi.org/10.1007/s00381-014-2551-z

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  • DOI: https://doi.org/10.1007/s00381-014-2551-z

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