Giant brain aneurysm in a two–year–old girl

  • Prastiya Indra G Dr. Soetomo Hospital of Pediatric Department
  • Hapsari Kusumawardani Dr. Soetomo Hospital of Pediatric Department
  • Darto Saharso Dr. Soetomo Hospital of Pediatric Department

Abstract

Brain aneurysm is an abnormal outward bulging of one of the brain arteries. Brain aneurysms are often discovered when they rupture, causing bleeding into the brain or the space surrounding the brain called the subarachnoid space. This subarachnoid hemorrhage can lead to hemorrhagic stroke, brain damage and death.1
The aneurysm can present in all ages, but mainly after 50 year of age (ages 35 – 60), and exists a greater predisposition in females, with a ratio 3:2.2 Intracranial aneurysms in children are rare. About 0.5-4.6% of all aneurysms in children distinctly differ from adult, especially in male (2:1 to 3:1).3,4,5,6
These injuries are located mainly in any cerebral artery specifically in those related to the well-known Circles of Willis such as internal carotid, middle cerebral and anterior cerebral artery as well as anterior communicating artery that corresponds to anterior circulatory circuit. In the posterior region they can be observed above the posterior cerebral artery, vertebral and basilar arteries, mainly. Aneurysm in children is mostly located at the bifurcation of ICA or vertebra-basilar artery posterior circulation, yet disproportionately with high incidence of posterior circulation aneurysm (40-50%) and of giant aneurysm (30-45%)

References

1. American Society of Interventional & Therapeutic Neuroradiology. Brain aneurysm [homepage on the internet]. Available from: http://www.brainaneurysm.com/index.html.
2. Ulloa MI . Cerebral aneurysms [homepage on the internet]. c2007-2009. Available from: http://www.marioizurieta.com/en/procedures.htm
3. Osenbuch RK. Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus. Pediatr Neurosci. 1989;15:309-12.
4. O Ostengaard JR, Voldby B. Intracranial arterial aneurysms in children and adolescents. J Neurosurg. 1983;58:832-7.
5. Patel AN, Ricardson AE. Ruptured intracranial aneurysms in the first two decades of life. J Neurosurg. 1971;35:571-6.
6. Ciceri EFM, Lawhead AL, Simone TD, Valvassori L, Boccardi E. Spontaeous partial thrombosis of a basilar artery giant aneurysm in a child. Am J Neuroradiol. 2005;25:56-7.
7. Ketan D, Trimurti N, Dattatraya M, Atul G. Rupture of giant superior inferior cerebellar artery aneurysm in an infant following a ventriculoperitoneal shunt. Neurol Meds Chir. 2001;41:127-30.
8. G Khurana. Brain aneurysm [homepage on the internet]. c2010. Available from: http://www.brain-aneurysm.com/ba2.html
9. Young N. Cerebral aneurysm. Available from: http://www.wiki.musialek.org/w/index.php/cerebrovascular-disease.
10. Albert JP, Sharon L, Svapna S, Richard EB, Robert MK. Vomiting in gastrointestinal system. Pediatric decision-making strategies to accompany. In: Richard E. B, Robert M. K., Hal B. J, editors. Nelson textbook of pediatrics. 16th Ed. Philadelpia: Elsevier, 2002;p.78-85.
11. Haslam RHA. Brain tumors in children. The nervous system. In: Richard E. B, Robert M. K., Hal B. J, editors. Nelson textbook of pediatrics. 16th Ed. Philadelphia: Elsevier, 2000;p.1858-62.
12. Wani AA, Behari S, Sahu RN, Jaiswal AK, Jain VK. Paediatric intracranial aneurysm. J Pediatr Neurosci. 2006;1:11-5.
13. Bryce W, Macdonald RL. Intracranial aneurysm and subarachnoid hemorrhage: an overview. Aneurysm and subarachnoid hemorrhage. In:Wilkins RH, Rengachary SS, editors. Neurosurgery. 2nd Ed. USA: Mc Graw Hill, 1996;p.2191-213.
14. Greenberg MS. SAH and aneurysm. In: Handbook of neurosurgery. 5th Ed. USA: Thieme, 2001; p. 771-93.
Published
2010-08-31
How to Cite
1.
G P, Kusumawardani H, Saharso D. Giant brain aneurysm in a two–year–old girl. PI [Internet]. 31Aug.2010 [cited 13Nov.2024];50(4):252-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1225
Section
Articles
Received 2017-01-29
Accepted 2017-01-29
Published 2010-08-31