Microsurgery for a ruptured intracranial aneurysm in a 3-year-old child: A case report

• Published in: International journal of surgery case reports 2020-01, Vol.76, p.458-462
• Main Authors: Ngo, Hung Manh, Chu, Hung Thanh, Nguyen, Dong Duc
• Format: Article
• Language: English
• Subjects: Case Report; Microsurgical clipping; Pediatric intracranial aneurysm; Surgery
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2020.10.036

•Intracranial aneurysms are rare in children, only case reports and case series published.•Subarachnoid hemorrhage is the most common feature of pediatric intracranial aneurysm with good clinical grade.•Microsurgical clipping is safe and effective in treatment of pediatric intracranial aneurysms. Pediatric intracranial aneurysms are rare, with some different characteristics from those in adults. Here, we present a case of distal anterior cerebral artery aneurysm which we believe the first case from Vietnam. A 3 years old boy presented with headache, lethargic and hemiparesis was diagnosed ruptured distal anterior cerebral artery aneurysm with CTA. 10 days before admission in our hospital, the toddler was admitted in local hospital with diagnosis of SAH without more accurate findings. Clipping microsurgery of aneurysms with left interhemispheric approach was done with good outcome. The epidermiology, presentation and diagnosis and strategy of treatments as well as their outcomes were discussed. We also discussed our thoughts about our case within the limited-resource condition such as in Vietnam. Pediatric intracranial anerusyms are rare but should be recognised in neurosurgical practice. Surgery is an effective treatment method.