[Ruptured cerebral aneurysm in childhood--report of two cases]

No Shinkei Geka. 2001 Oct;29(10):979-83.
[Article in Japanese]

Abstract

We report two pediatric patients with rupture of cerebral aneurysm developing subarachnoid hemorrhage. These two patients complained of headache and vomiting. Patient 1 was a 15-year-old girl. Cranial computed tomography (CT) showed a high density area in the left sylvian fissure, suggesting subarachnoid hemorrhage. Left carotid arteriography revealed an aneurysm at the left internal carotid artery bifurcation. Surgical pathology showed a saccular type aneurysm with disappearance of internal elastic membrane. Patient 2 was a 14-year-old girl. Cranial CT exhibited a high density area in the basal cistern and hematoma in the right frontal lobe, penetrating to the right lateral ventricle. Right carotid arteriography showed a right anterior cerebral aneurysm in the right anterior cerebral artery. Both patients underwent craniotomy and trapping successfully, and their subsequent clinical courses were uneventful.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Aneurysm, Ruptured / complications*
  • Aneurysm, Ruptured / diagnosis
  • Female
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / diagnosis
  • Magnetic Resonance Imaging
  • Subarachnoid Hemorrhage / etiology*