Skip to main content

Advertisement

Log in

Saccular aneurysm of infancy and early childhood

Report of a case

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

A case of intracranial saccular aneurysm with intracerebral haematoma occurring in early childhood and presenting with sudden loss of consciousness and right hemiparesis is reported. The aneurysm was located in the opercular portion of the left middle cerebral artery. Surgery, besides removing the intracerebral haematoma, involved clipping and complete removal of the aneurysmal sac. The child made an uneventful recovery, and he is completely safe after 40 months. Microscopic examination of the lesion shows disruption of the normal sequence of the original layers, with widespread inflammatory cells.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alpers, B. J., Aneurysms of the circle of Willis: Morphological and clinical observations. In: Intracranial aneurysms and subarachnoid hemorrhage, pp. 5–24 (Fields, W. S.,et al., eds.) Springfield, Ill.: Ch. C Thomas. 1965.

    Google Scholar 

  2. Amacher, A. L., Drake, C. G., Cerebral artery aneurysms in infancy, childhood and adolescence. Child's Brain1 (1975), 72–80.

    Google Scholar 

  3. Arai, H., Sugiyama, Y., Kawakami, S., Miyazawa, N., Multiple intracranial aneurysms and vascular malformations in an infant: Case report. J. Neurosurg.37 (1972), 357–360.

    Google Scholar 

  4. Arai, H., Ueki, K., Takahara, Y., Intracranial aneurysm in an infant. Surg. Neurol.1 (1973), 94–96.

    Google Scholar 

  5. Becker, D. M., Silverberg, G. D., Nelson, D. H., Hanbery, J. W., Saccular aneurysm of infancy and early childhood. Neurosurg.2 (1978), 1–7.

    Google Scholar 

  6. Bolander, H., Hassler, O., Liliquist, B., West, K. A., Cerebral aneurysm in an infant with fibromuscular hyperplasia of the renal arteries. Case report. J. Neurosurg.49 (1978), 756–759.

    Google Scholar 

  7. Bremer, J. L., Congenital aneurysms of the cerebral arteries: An embryologic study. Arch. Pathol.35 (1943), 819–831.

    Google Scholar 

  8. Breschi, F., Passerini, A., Migliavacca, F., L'emorragia subarachnoidea: aspetti clinici, chirurgici e radiologici. Gaslini8 (1976), 107–112.

    Google Scholar 

  9. Cambria, S., Cardia, E., Macri, E., Anévrysme géant de l'artère Sylvienne chez un enfant de quatre ans (ésérèse, guérison). Neurochirurgie22 (1976), 85–90.

    Google Scholar 

  10. Davadiga, K. V., Mathai, K. V., Chandy, J., Spontaneous cure of intravenous aneurysm of the internal carotid artery in a 14 month old child: Case report. J. Neurosurg.30 (1969), 165–168.

    Google Scholar 

  11. Dial, D. L., Maurer, G. B., Intracranial aneurysms: Report of 13 cases. Amer. J. Surg.35 (1937), 2–21.

    Google Scholar 

  12. Fearnsides, E. G., Intracranial aneurysms. Brain39 (1916), 224–296.

    Google Scholar 

  13. Ferry, P. C., Kerber, C., Peterson, D., Gallo, A. A., Jr., Arteriectasis, subarachnoid hemorrhage in a three-month-old infant. Neurology (Minneap.)24 (1974), 494–500.

    Google Scholar 

  14. Forster, F. M., Alpers, B. J., Aneurysm of the circle of Willis associated with congential polycystic disease of the kidneys. Arch. Neurol. Psychiat.50 (1943), 669–676.

    Google Scholar 

  15. Garcia-Chavez, C., Moossy, J., Cerebral artery aneurysm in infancy: Association with agenesis of the corpus callosum. J. Neuropathol. Exp. Neurol.24 (1965), 492–501.

    Google Scholar 

  16. Gerosa, M., Licata, C., Fiore, D. L., Iraci, G., Intracranial aneurysms of childhood. Child's Brain6 (1980), 295–302.

    Google Scholar 

  17. Grode, M. L., Saunders, M., Carton, C. A., Subarachnoid hemorrhage secondary to ruptured aneurysms in infants. Report of two cases. J. Neurosurg.49 (1978), 898–902.

    Google Scholar 

  18. Hamill and Carter, cited in Reference 10.

    Google Scholar 

  19. Jane, J. A., A large aneurysm of the posterior inferior cerebellar artery in a 1-year-old child. J. Neurosurg.18 (1961), 245–247.

    Google Scholar 

  20. Jones, R. K., Sheaburn, E. W., Intracranial aneurysm in a four-week-old infant: Diagnosis by angiography and successful operation. J. Neurosurg.18 (1961), 122–124.

    Google Scholar 

  21. Kimbell, F. D., Jr., Llewellyn, R. C., Kirgis, H. D., Surgical treatment of ruptured aneurysm with intracerebral and subarachnoid hemorrhage in a 16-month-old infant. J. Neurosurg.17 (1960), 331–332.

    Google Scholar 

  22. Laitinen, L., Arteriella aneurysm med. subarachnoidalblödning hos barn. Nord. Med.71 (1964), 329–333.

    Google Scholar 

  23. Lapras, Cl., cited in Reference 22.

    Google Scholar 

  24. Lee, Y. J., Kandall, S. R., Gahli, V. S., Intracerebral arterial aneurysm in a new born. Arch. Neurol.35 (1978), 171–172.

    Google Scholar 

  25. Lemmen, I. J., Schneider, R. C., Aneurysm in the third ventricle. Neurology (Minneap.)3 (1953), 474–476.

    Google Scholar 

  26. Lipper, S., Morgan, D., Krigman, M. R., Staab, E. V., Congenital saccular aneurysm in a 19-day-old neonate: Case report and review of the literature. Surg. Neurol.10 (1978), 161–165.

    Google Scholar 

  27. Locksley, H. B., Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage, Section 5, Part 1. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformation. J. Neurosurg.25 (1966), 219–239.

    Google Scholar 

  28. Matson, D. D., Intracranial arterial aneurysms in childhood. J. Neurosurg.23 (1965), 578–583.

    Google Scholar 

  29. McDonald, C. A., Korb, M., Intracranial aneurysms. Arch. Neurol. Psychiat.42 (1939), 298–328.

    Google Scholar 

  30. Milhorat, Th. H., Pediatric neurosurgery, pp. 334–335. Philadelphia: F. A. Davis Co. 1978.

    Google Scholar 

  31. Morelli, R. J., Laubscher, F., Intracranial aneurysm in infancy. Case report. J. Neurosurg.46 (1977), 832–834.

    Google Scholar 

  32. Newcomb, A. L., Munns, G. F., Rupture of aneurysm of the circle Willis in the newborn. Pediatrics3 (1949), 769–772.

    Google Scholar 

  33. Pool, J. L., Potts, D. G., Aneurysms and arteriovenous anomalies of the brain: diagnosis and treatment. New York: Harper and Row. 1965.

    Google Scholar 

  34. Shucart, W. A., Wolpert, S. M., An aneurysm in infancy presenting with diabetes insipidus. J. Neurosurg.37 (1972), 368–370.

    Google Scholar 

  35. Talbot, F. B., Contribution to Medical and Biological Research, Vol. 2. New York: B. Hoeber Publishers, Inc. 1919.

    Google Scholar 

  36. Thompson, J. R., Harwood-Nash, D. C., Fitz, C. R., Cerebral aneurysms in children. Amer. J. Roentgenol. (1973), 163–175.

  37. Thompson, R. A., Pribram, H. F. W., Infantile cerebral aneurysm associated with ophthalmoplegia and quadriparesis. Neurology (Minneap.)19 (1969), 785–789.

    Google Scholar 

  38. Valle and, Cavalcanti in Alpers, B. J., Aneurysms of the circle of Willis: Morphological and clinical considerations. In: Intracranial aneurysms and subarachnoid hemorrhage, p. 7 (Fields, W. S., Sahs, A. L., eds.). Springfield, Ill.: Ch. C Thomas. 1965.

    Google Scholar 

  39. Vapalahti, P. M., Schugk, P., Tarkkanen, L., Björkesten, G., Intracranial arterial aneurysm in a three-month-old infant: Case report. J. Neurosurg.30 (1969), 169–171.

    Google Scholar 

  40. Ventureyra, E. C. G., Choo, S. H., Benoit, B. C., Super giant globoid intracranial aneurysm in an infarct. Case report. J. Neurosurg.53 (1980), 411–416.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Paoletti, P., Pezzotta, S., Scotta, M. et al. Saccular aneurysm of infancy and early childhood. Acta neurochir 57, 257–267 (1981). https://doi.org/10.1007/BF01664842

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01664842

Keywords

Navigation