Onyx embolization of a ruptured anterior inferior cerebellar artery in a neonate
Abstract
Aneurysmal subarachnoid hemorrhage (SAH) is rare in neonates. The authors present a unique report of a neonate with SAH from anterior inferior cerebellar artery (AICA) aneurysm rupture that was successfully treated with Onyx embolization. This case report demonstrates the utility of Onyx embolization for posterior circulation aneurysms in neonates and the successful management of SAH in this population.
Keywords
Subarachnoid hemorrhage Anterior inferior cerebellar artery Onyx embolization Liquid embolic agent Aneurysm Posterior circulationNotes
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
References
- 1.Huang J, McGirt MJ, Gailloud P, Tamargo RJ (2005) Intracranial aneurysms in the pediatric population: case series and literature review. Surg Neurol 63:424–432CrossRefGoogle Scholar
- 2.Buis DR, Ouwerkerk WJR, Takahata H, Vandertop WP (2006) Intracranial aneurysms in children under 1 year of age: a systematic review of the literature. Childs Nerv Syst 22:1395–1409. https://doi.org/10.1007/s00381-006-0142-3 CrossRefGoogle Scholar
- 3.Aryan HE, Giannotta SL, Fukushima T, Park MS, Ozgur BM, Levy ML (2006) Aneurysms in children: review of 15 years experience. J Clin Neurosci 13:188–192CrossRefGoogle Scholar
- 4.Beez T, Steiger H-J, Hänggi D (2016) Evolution of management of intracranial aneurysms in children. J Child Neurol 31:773–783. https://doi.org/10.1177/0883073815609153 CrossRefGoogle Scholar
- 5.Liang J, Bao Y, Zhang H, Wrede KH, Zhi X, Li M, Ling F (2009) The clinical features and treatment of pediatric intracranial aneurysm. Childs Nerv Syst 25:317–324. https://doi.org/10.1007/s00381-008-0725-2 CrossRefGoogle Scholar
- 6.Lyon KA, Arrey EN, Haider AS, Jeevan DS, Benardete EA (2017) Endovascular treatment of a large ruptured middle cerebral artery bifurcation aneurysm in a 5-week-old infant: case report. J Neurosurg Pediatr 20:1–7. https://doi.org/10.3171/2017.5.PEDS17116. Google Scholar
- 7.Mohammad LM, Coon AL, Carlson AP (2017) Resolution of giant basilar artery aneurysm compression and reversal of sensorineural hearing loss with use of a flow diverter: case report. J Neurosurg Pediatr 20:1–5. https://doi.org/10.3171/2016.9.PEDS16428 Google Scholar
- 8.Anami H, Aihara Y, Kawashima A (2014) A case report of a pediatric traumatic aneurysm with arteriovenous ( A-V ) fistula CASE-BASED UPDATE. Childs Nerv Syst 30:2003–2008. https://doi.org/10.1007/s00381-014-2551-z CrossRefGoogle Scholar
- 9.Vasan R, Patel J, Sweeney JM, Carpenter AM, Downes K, Youssef AS, van Loveren H, Agazzi S (2013) Pediatric intracranial aneurysms: current national trends in patient management and treatment. Childs Nerv Syst 29:451–456. https://doi.org/10.1007/s00381-012-1945-z CrossRefGoogle Scholar
- 10.Takemoto K, Tateshima S, Golshan A, Gonzalez N, Jahan R, Duckwiler G, Vinuela F (2014) Endovascular treatment of pediatric intracranial aneurysms: a retrospective study of 35 aneurysms. J Neurointerv Surg 6:432–438. https://doi.org/10.1136/neurintsurg-2013-010852 CrossRefGoogle Scholar
- 11.Sanai N, Auguste KI, Lawton MT (2010) Microsurgical management of pediatric intracranial aneurysms. Childs Nerv Syst 26:1319–1327CrossRefGoogle Scholar
- 12.Alawi A, Edgell RC, Elbabaa SK, Callison RC, Khalili YA, Allam H, Alshekhlee A (2014) Treatment of cerebral aneurysms in children: analysis of the Kids’ Inpatient Database. J Neurosurg Pediatr 14:23–30. https://doi.org/10.3171/2014.4.PEDS13464 CrossRefGoogle Scholar
- 13.Gross BA, Smith ER, Scott RM, Orbach DB (2015) Intracranial aneurysms in the youngest patients: characteristics and treatment challenges. Pediatr Neurosurg 50:18–25. https://doi.org/10.1159/000370161 CrossRefGoogle Scholar
- 14.Reig AS, Simon S, Mericle RA (2009) Embolization of a giant pediatric, posttraumatic, skull base internal carotid artery aneurysm with a liquid embolic agent. J Neurosurg Pediatr 4:449–452. https://doi.org/10.3171/2009.6.PEDS0953 CrossRefGoogle Scholar
- 15.Leyon JJ, Littlehales T, Rangarajan B, Hoey ET, Ganeshan A (2014) Endovascular embolization: review of currently available embolization agents. Curr Probl Diagn Radiol 43:35–53. https://doi.org/10.1067/j.cpradiol.2013.10.003 CrossRefGoogle Scholar
- 16.Saeed Kilani M, Izaaryene J, Cohen F, Varoquaux A, Gaubert JY, Louis G, Jacquier A, Bartoli JM, Moulin G, Vidal V (2015) Ethylene vinyl alcohol copolymer (Onyx®) in peripheral interventional radiology: indications, advantages and limitations. Diagn Interv Imaging 96:319–326CrossRefGoogle Scholar
- 17.Flores BC, Patel AR, Braga BP, et al (2016) Management of infectious intracranial aneurysms in the pediatric population. 1205–1217 . https://doi.org/10.1007/s00381-016-3101-7
- 18.Medel R, Crowley RW, Hamilton DK, Dumont AS (2009) Endovascular obliteration of an intracranial pseudoaneurysm: the utility of Onyx. J Neurosurg Pediatr 4:445–448. https://doi.org/10.3171/2009.6.PEDS09104 CrossRefGoogle Scholar
- 19.de Castro-Afonso LH, Nakiri GS, Oliveira RS, Santos MV, Santos ACD, Machado HR, Abud DG (2016) Curative embolization of pediatric intracranial arteriovenous malformations using Onyx: the role of new embolization techniques on patient outcomes. Neuroradiology 58:585–594. https://doi.org/10.1007/s00234-016-1666-1 CrossRefGoogle Scholar
- 20.Mahmoud M, El Serwi A, Alaa Habib M, Abou Gamrah S (2012) Endovascular treatment of AICA flow dependent aneurysms: a report of three cases and review of the literature. Interv Neuroradiol 18:449–457CrossRefGoogle Scholar
- 21.Naidich TP, Kricheff II, George AE, Lin JP (1976) The normal anterior inferior cerebellar artery Anatomic-radiographic correlation with emphasis on the lateral projection. Radiology 119:355–373. https://doi.org/10.1148/119.2.355 CrossRefGoogle Scholar
- 22.Woischneck D, Hussein S (1991) The anterior inferior cerebellar artery (AICA): clinical and radiological significance. Neurosurg Rev 14:293–295. https://doi.org/10.1007/BF00383265 CrossRefGoogle Scholar
Copyright information
© Springer-Verlag GmbH Germany, part of Springer Nature 2018