Idiopathic Intraventricular Aneurysm Presenting with Intraventricular Hemorrhage: Case Report and Review of the Literature
Intraventricular hemorrhage (IVH) is a relatively commonly encountered problem in neurosurgical practice. The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) a...
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| Veröffentlicht in: | Pediatric neurosurgery 2012-01, Vol.48 (3), p.174-180 |
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| creator | Madhugiri, Venkatesh S. Gundamaneni, Sudheer Kumar Yadav, Awdhesh Kumar Sasidharan, Gopalakrishnan M. Roopesh, Kumar V.R. |
| description | Intraventricular hemorrhage (IVH) is a relatively commonly encountered problem in neurosurgical practice. The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) are rare. A high index of suspicion needs to be maintained since, with the appropriate treatment, the outcome is generally good. We report the case of a 14-year-old boy who presented with sudden onset headache and vomiting. CT angiogram pointed to the possibility of an IVA. This was confirmed by MRI with three-dimensional constructive interference in steady state (CISS-3D) sequences and digital subtraction angiography. The patient underwent microsurgical excision of the aneurysm and is doing well on follow-up. Idiopathic IVA can present with IVH at any age. MRI with CISS-3D and MR angiography would be the imaging modality of choice since it can also rule out other causes of intraventricular bleeding such as tumors and AVM. These lesions could be managed effectively by microsurgical excision/clipping. The necessity of investigating every patient who presents with IVH is debatable. |
| doi_str_mv | 10.1159/000346264 |
| format | Article |
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The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) are rare. A high index of suspicion needs to be maintained since, with the appropriate treatment, the outcome is generally good. We report the case of a 14-year-old boy who presented with sudden onset headache and vomiting. CT angiogram pointed to the possibility of an IVA. This was confirmed by MRI with three-dimensional constructive interference in steady state (CISS-3D) sequences and digital subtraction angiography. The patient underwent microsurgical excision of the aneurysm and is doing well on follow-up. Idiopathic IVA can present with IVH at any age. MRI with CISS-3D and MR angiography would be the imaging modality of choice since it can also rule out other causes of intraventricular bleeding such as tumors and AVM. These lesions could be managed effectively by microsurgical excision/clipping. The necessity of investigating every patient who presents with IVH is debatable.</description><identifier>ISSN: 1016-2291</identifier><identifier>EISSN: 1423-0305</identifier><identifier>DOI: 10.1159/000346264</identifier><identifier>PMID: 23406825</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adolescent ; Aneurysms ; Angiography, Digital Subtraction ; Case Report ; Hemorrhage ; Humans ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - pathology ; Intracranial Aneurysm - surgery ; Intracranial Hemorrhages - diagnostic imaging ; Intracranial Hemorrhages - pathology ; Intracranial Hemorrhages - surgery ; Lateral Ventricles - diagnostic imaging ; Lateral Ventricles - pathology ; Lateral Ventricles - surgery ; Magnetic Resonance Imaging - methods ; Male ; Neurology ; Neurosurgery ; Pediatrics</subject><ispartof>Pediatric neurosurgery, 2012-01, Vol.48 (3), p.174-180</ispartof><rights>2013 S. Karger AG, Basel</rights><rights>Copyright © 2013 S. Karger AG, Basel.</rights><rights>Copyright (c) 2013 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-1345e8aa130f9a069d81adca991ef29098236250d8299609af21e17f872f99e03</citedby><cites>FETCH-LOGICAL-c395t-1345e8aa130f9a069d81adca991ef29098236250d8299609af21e17f872f99e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23406825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Madhugiri, Venkatesh S.</creatorcontrib><creatorcontrib>Gundamaneni, Sudheer Kumar</creatorcontrib><creatorcontrib>Yadav, Awdhesh Kumar</creatorcontrib><creatorcontrib>Sasidharan, Gopalakrishnan M.</creatorcontrib><creatorcontrib>Roopesh, Kumar V.R.</creatorcontrib><title>Idiopathic Intraventricular Aneurysm Presenting with Intraventricular Hemorrhage: Case Report and Review of the Literature</title><title>Pediatric neurosurgery</title><addtitle>Pediatr Neurosurg</addtitle><description>Intraventricular hemorrhage (IVH) is a relatively commonly encountered problem in neurosurgical practice. The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) are rare. A high index of suspicion needs to be maintained since, with the appropriate treatment, the outcome is generally good. We report the case of a 14-year-old boy who presented with sudden onset headache and vomiting. CT angiogram pointed to the possibility of an IVA. This was confirmed by MRI with three-dimensional constructive interference in steady state (CISS-3D) sequences and digital subtraction angiography. The patient underwent microsurgical excision of the aneurysm and is doing well on follow-up. Idiopathic IVA can present with IVH at any age. MRI with CISS-3D and MR angiography would be the imaging modality of choice since it can also rule out other causes of intraventricular bleeding such as tumors and AVM. These lesions could be managed effectively by microsurgical excision/clipping. The necessity of investigating every patient who presents with IVH is debatable.</description><subject>Adolescent</subject><subject>Aneurysms</subject><subject>Angiography, Digital Subtraction</subject><subject>Case Report</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Intracranial Hemorrhages - diagnostic imaging</subject><subject>Intracranial Hemorrhages - pathology</subject><subject>Intracranial Hemorrhages - surgery</subject><subject>Lateral Ventricles - diagnostic imaging</subject><subject>Lateral Ventricles - pathology</subject><subject>Lateral Ventricles - surgery</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Pediatrics</subject><issn>1016-2291</issn><issn>1423-0305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0U2LFDEQBuAgiruuHryLBLzoobWS9Fe8LcPqDgy6iJ6bsrsyk3X6w0p6l_XXm2HGEVTwkhTh4S3CK8RTBa-VKuwbADB5qcv8njhVuTYZGCjupxlUmWlt1Yl4FMI1QMI2fyhOtMmhrHVxKn4sOz9OGDe-lcshMt5QOn07b5Hl-UAz34VeXjGF9O6Htbz1cfO3vKR-ZN7gmt7KBQaSn2gaOUocujTeeLqVo5NxQ3LlIzHGmemxeOBwG-jJ4T4TX95dfF5cZquP75eL81XWGlvETJm8oBpRGXAWobRdrbBr0VpFTluwtTalLqCrtbUlWHRakapcXWlnLYE5Ey_3uROP32cKsel9aGm7xYHGOTSqqoxVdaHK_1OjqhxqgCLRF3_Q63HmIX0kKb3Lq_KderVXLY8hMLlmYt8j3zUKml13zbG7ZJ8fEuevPXVH-aus3yu_Ia-Jj-Dqw8U-opk6l9Szf6rDlp_4pqg6</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Madhugiri, Venkatesh S.</creator><creator>Gundamaneni, Sudheer Kumar</creator><creator>Yadav, Awdhesh Kumar</creator><creator>Sasidharan, Gopalakrishnan M.</creator><creator>Roopesh, Kumar V.R.</creator><general>S. 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The underlying causes could include hypertension, arteriovenous malformations (AVM), angiomas, trauma, tumors, aneurysms and moyamoya disease. Truly idiopathic intraventricular aneurysms (IVA) are rare. A high index of suspicion needs to be maintained since, with the appropriate treatment, the outcome is generally good. We report the case of a 14-year-old boy who presented with sudden onset headache and vomiting. CT angiogram pointed to the possibility of an IVA. This was confirmed by MRI with three-dimensional constructive interference in steady state (CISS-3D) sequences and digital subtraction angiography. The patient underwent microsurgical excision of the aneurysm and is doing well on follow-up. Idiopathic IVA can present with IVH at any age. MRI with CISS-3D and MR angiography would be the imaging modality of choice since it can also rule out other causes of intraventricular bleeding such as tumors and AVM. These lesions could be managed effectively by microsurgical excision/clipping. The necessity of investigating every patient who presents with IVH is debatable.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>23406825</pmid><doi>10.1159/000346264</doi><tpages>7</tpages></addata></record> |
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| ispartof | Pediatric neurosurgery, 2012-01, Vol.48 (3), p.174-180 |
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| language | eng |
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| source | MEDLINE; Karger Journals Complete |
| subjects | Adolescent Aneurysms Angiography, Digital Subtraction Case Report Hemorrhage Humans Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - pathology Intracranial Aneurysm - surgery Intracranial Hemorrhages - diagnostic imaging Intracranial Hemorrhages - pathology Intracranial Hemorrhages - surgery Lateral Ventricles - diagnostic imaging Lateral Ventricles - pathology Lateral Ventricles - surgery Magnetic Resonance Imaging - methods Male Neurology Neurosurgery Pediatrics |
| title | Idiopathic Intraventricular Aneurysm Presenting with Intraventricular Hemorrhage: Case Report and Review of the Literature |
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