Abstract:
INTRODUCTION:Intracranial arterial aneurysms are little frequent among the pediatric age group but the frequency is still lower in children under 1 year of age and extremely rare in neonates. We present a case, review literature and propose common characteristics and management of this pathology. CASE REPORT:A term newborn suffered reduction of the level of conscience. After brain ultrasound examination and CT scan was diagnosed with intraparenchymatous hematoma on the 7th day of life. Intraoperative, after evacuation of this hematoma, we discovered, clipped and extirpated a middle cerebral artery aneurysm without any problems. The patient's evolution was satisfactory only presenting a slight paresia of his right arm. CONCLUSION:We review the literature and find 16 cases of neonatal intracranial arterial aneurysms. Mortality rate is about 50%, but keeping in mind better survivals with surgical treatment in the last years. Thus we conclude, when it is possible, in favour of a surgical and precocious treatment of these neonatal aneurysm.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
González-Bonet LG,Ollero-Ortiz A,Giménez-Pando J,Márquez-Rivas Jsubject
Has Abstractpub_date
2010-04-01 00:00:00pages
403-8issue
7eissn
0210-0010issn
1576-6578pii
rn2009549journal_volume
50pub_type
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