Ruptured Cerebral Aneurysm in the Early Stage of Life - a Congenital Origin?
Abstract We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III...
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| Veröffentlicht in: | Neuropediatrics 2004-08, Vol.35 (4), p.230-233 |
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| creator | Pollo, C. Meagher-Villmure, K. Bernath, M.-A. Vernet, O. Regli, L. |
| description | Abstract
We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III grade); CT angiography showed an aneurysm of the distal A1 segment of the anterior cerebral artery (ACA). Successful treatment was achieved through surgical trapping of the aneurysm and sacrifice of the distal A1 segment. A histological study of the aneurysmal wall revealed the absence of elastic fibers in an otherwise fibromuscular media and showed no signs of previous hemorrhage. Intracranial aneurysms of the ACA are very rare in the early stage of life and their pathogenesis is not clear. This case is of interest as the location and shape of the aneurysm, the absence of relevant familial and medical history, and the histopathological findings raise the hypothesis of a congenital origin. It further describes the value of CT angiography for studying aneurysms in the very young. |
| doi_str_mv | 10.1055/s-2004-817957 |
| format | Article |
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We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III grade); CT angiography showed an aneurysm of the distal A1 segment of the anterior cerebral artery (ACA). Successful treatment was achieved through surgical trapping of the aneurysm and sacrifice of the distal A1 segment. A histological study of the aneurysmal wall revealed the absence of elastic fibers in an otherwise fibromuscular media and showed no signs of previous hemorrhage. Intracranial aneurysms of the ACA are very rare in the early stage of life and their pathogenesis is not clear. This case is of interest as the location and shape of the aneurysm, the absence of relevant familial and medical history, and the histopathological findings raise the hypothesis of a congenital origin. It further describes the value of CT angiography for studying aneurysms in the very young.</description><identifier>ISSN: 0174-304X</identifier><identifier>EISSN: 1439-1899</identifier><identifier>DOI: 10.1055/s-2004-817957</identifier><identifier>PMID: 15328562</identifier><identifier>CODEN: NRPDDB</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Aneurysm, Ruptured - diagnostic imaging ; Aneurysm, Ruptured - etiology ; Aneurysm, Ruptured - pathology ; Anterior Cerebral Artery - abnormalities ; Biological and medical sciences ; Female ; Humans ; Infant ; Intracranial Aneurysm - congenital ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - pathology ; Medical sciences ; Neurology ; Short Communication ; Tomography, X-Ray Computed</subject><ispartof>Neuropediatrics, 2004-08, Vol.35 (4), p.230-233</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c349t-105d239bfc811d33ca02f1284cff56e922d60014b0326af2bcb1f0315ddef4fb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2004-817957.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2004-817957$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>315,781,785,3019,27928,27929,54563,54564</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16080188$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15328562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pollo, C.</creatorcontrib><creatorcontrib>Meagher-Villmure, K.</creatorcontrib><creatorcontrib>Bernath, M.-A.</creatorcontrib><creatorcontrib>Vernet, O.</creatorcontrib><creatorcontrib>Regli, L.</creatorcontrib><title>Ruptured Cerebral Aneurysm in the Early Stage of Life - a Congenital Origin?</title><title>Neuropediatrics</title><addtitle>Neuropediatrics</addtitle><description>Abstract
We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III grade); CT angiography showed an aneurysm of the distal A1 segment of the anterior cerebral artery (ACA). Successful treatment was achieved through surgical trapping of the aneurysm and sacrifice of the distal A1 segment. A histological study of the aneurysmal wall revealed the absence of elastic fibers in an otherwise fibromuscular media and showed no signs of previous hemorrhage. Intracranial aneurysms of the ACA are very rare in the early stage of life and their pathogenesis is not clear. This case is of interest as the location and shape of the aneurysm, the absence of relevant familial and medical history, and the histopathological findings raise the hypothesis of a congenital origin. It further describes the value of CT angiography for studying aneurysms in the very young.</description><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Aneurysm, Ruptured - etiology</subject><subject>Aneurysm, Ruptured - pathology</subject><subject>Anterior Cerebral Artery - abnormalities</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Intracranial Aneurysm - congenital</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Short Communication</subject><subject>Tomography, X-Ray Computed</subject><issn>0174-304X</issn><issn>1439-1899</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0TlPwzAUB3ALgWgpjKzIC0wEno-4yYSqqBxSpUocEpvlJM-tUY5iJ0O_PalaxMj0lt879H-EXDK4YxDH9yHiADJK2DSNp0dkzKRII5ak6TEZA5vKSID8HJGzEL4AmExBnZIRiwVPYsXHZPHab7reY0kz9Jh7U9FZg73fhpq6hnZrpHPjqy1968wKaWvpwlmkETU0a5sVNq4bWpberVzzcE5OrKkCXhzqhHw8zt-z52ixfHrJZouoEDLtouHukos0t0XCWClEYYBbxhNZWBsrTDkv1e7WHARXxvK8yJkFweKyRCttLibkZj9349vvHkOnaxcKrCrTYNsHrdQQxxTifyEHJTlwOcCrA-zzGku98a42fqt_gxrA9QGYUJjKetMULvw5BQmwJBnc7d51a4c16q-2982QhWagd__Su6Ug9f5f4gfFvILb</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Pollo, C.</creator><creator>Meagher-Villmure, K.</creator><creator>Bernath, M.-A.</creator><creator>Vernet, O.</creator><creator>Regli, L.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Ruptured Cerebral Aneurysm in the Early Stage of Life - a Congenital Origin?</title><author>Pollo, C. ; Meagher-Villmure, K. ; Bernath, M.-A. ; Vernet, O. ; Regli, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-105d239bfc811d33ca02f1284cff56e922d60014b0326af2bcb1f0315ddef4fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Aneurysm, Ruptured - etiology</topic><topic>Aneurysm, Ruptured - pathology</topic><topic>Anterior Cerebral Artery - abnormalities</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Intracranial Aneurysm - congenital</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Short Communication</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pollo, C.</creatorcontrib><creatorcontrib>Meagher-Villmure, K.</creatorcontrib><creatorcontrib>Bernath, M.-A.</creatorcontrib><creatorcontrib>Vernet, O.</creatorcontrib><creatorcontrib>Regli, L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Neuropediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pollo, C.</au><au>Meagher-Villmure, K.</au><au>Bernath, M.-A.</au><au>Vernet, O.</au><au>Regli, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ruptured Cerebral Aneurysm in the Early Stage of Life - a Congenital Origin?</atitle><jtitle>Neuropediatrics</jtitle><addtitle>Neuropediatrics</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>35</volume><issue>4</issue><spage>230</spage><epage>233</epage><pages>230-233</pages><issn>0174-304X</issn><eissn>1439-1899</eissn><coden>NRPDDB</coden><abstract>Abstract
We report the case of a large fusiform aneurysm of the anterior cerebral artery in a 3-month-old girl presenting with generalized seizures and complicated by a cardiorespiratory arrest needing resuscitation. The native cerebral CT scan revealed a diffuse subarachnoid hemorrhage (Fischer III grade); CT angiography showed an aneurysm of the distal A1 segment of the anterior cerebral artery (ACA). Successful treatment was achieved through surgical trapping of the aneurysm and sacrifice of the distal A1 segment. A histological study of the aneurysmal wall revealed the absence of elastic fibers in an otherwise fibromuscular media and showed no signs of previous hemorrhage. Intracranial aneurysms of the ACA are very rare in the early stage of life and their pathogenesis is not clear. This case is of interest as the location and shape of the aneurysm, the absence of relevant familial and medical history, and the histopathological findings raise the hypothesis of a congenital origin. It further describes the value of CT angiography for studying aneurysms in the very young.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>15328562</pmid><doi>10.1055/s-2004-817957</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Aneurysm, Ruptured - diagnostic imaging Aneurysm, Ruptured - etiology Aneurysm, Ruptured - pathology Anterior Cerebral Artery - abnormalities Biological and medical sciences Female Humans Infant Intracranial Aneurysm - congenital Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - pathology Medical sciences Neurology Short Communication Tomography, X-Ray Computed |
| title | Ruptured Cerebral Aneurysm in the Early Stage of Life - a Congenital Origin? |
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