Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

Munakomi, Sunil; Tamrakar, Karuna; Chaudhary, Pramod; Bhattarai, Binod; Cherian, Iype

doi:10.12688/f1000research.7028.1

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…A1 BBAs are even rarer. Similarly, traumatic pseudoaneurysms in the A1 segment are also extremely rare [69,70]. For BBAs and traumatic pseudoaneurysms in the A1 segment, if sacrifice of the A1 is well tolerated, PAO via EVT can be selected [71].…”

Section: Bbas and Traumatic Pseudoaneurysmsmentioning

confidence: 99%

Endovascular treatment for aneurysms at the A1 segment of the anterior cerebral artery: current difficulties and solutions

Hou

Guo

et al. 2020

Acta Neurol Belg

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Aneurysms located at the A1 segment of the anterior cerebral artery are considered rare and unique entities. Endovascular treatment (EVT) is effective in preventing aneurysmal bleeding. However, EVT for A1 aneurysms is difficult due to their distinctive configurations. A current review of EVT for A1 aneurysms is lacking. Therefore, we focused on the available literature on this specific issue. To more clearly expound this entity, we also provided some illustrative cases. The A1 segment can be equally divided into the proximal, middle, and distal segments. Proximal aneurysms are most common and difficult to treat via EVT. The A1 segment has a complex anatomy and many important branches. Due to the small size, predominant posterior direction, and sharp upturn of the microcatheter from the parent artery, microcatheter positioning and support is difficult for A1 aneurysms. EVT for A1 aneurysms mainly includes reconstructive and deconstructive strategies. The complications of EVT for A1 aneurysms include aneurysmal perforation, thromboembolic events, and coil protrusion related to stent-assisted embolization. A1 aneurysms represent rare and difficult vascular lesions. EVT is quite challenging for A1 aneurysms due to their distinctive configurations. The outcomes are acceptable.

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Section: Bbas and Traumatic Pseudoaneurysmsmentioning

confidence: 99%

Endovascular treatment for aneurysms at the A1 segment of the anterior cerebral artery: current difficulties and solutions

Hou

Guo

et al. 2020

Acta Neurol Belg

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“…4 It has been reported that dissecting aneurysms after head trauma are the most common pediatric cerebral aneurysms, accounting for 10% to 39% of pediatric cerebral aneurysms. [5][6][7] Dissecting aneurysms may occur with minor head trauma, 8 and arterial injury is usually because of acceleration-deceleration between artery and cerebral falx or sphenoid ridge. 7,9 In our patient, there was no apparent cause of the aneurysm (i.e., trauma, infection, congenital anomaly, etc.).…”

Section: Discussionmentioning

confidence: 99%

Idiopathic dissecting cerebral aneurysm of the distal anterior cerebral artery in an infant successfully treated with aneurysmectomy: illustrative case

Nagamitsu

Kaneko

Nagatsuna

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUNDIdiopathic dissecting cerebral aneurysms (IDCAs) are male dominant but are extremely rare in children. Many IDCAs in children are located in the posterior cerebral artery and the supraclinoid internal cervical artery. No cases of IDCA of the distal anterior cerebral artery (ACA) have been reported.OBSERVATIONSA previously healthy 7-month-old boy experienced afebrile seizures and presented at the authors’ hospital 1 week after the first seizure. He was not feeling well but had no neurological deficits. The authors diagnosed a ruptured aneurysm of the right distal ACA based on imaging results. He underwent emergency craniotomy to prevent re-rupture of the aneurysm. Using intraoperative indocyanine green videoangiography, the authors confirmed peripheral blood flow and then performed aneurysmectomy. Pathological examination of the aneurysm revealed a thickened intima, fragmentation of the internal elastic lamina, and a hematoma in the aneurysmal wall. The authors ultimately diagnosed IDCA because no cause was indicated, including a history of trauma. The boy recovered after surgery and was subsequently discharged with no complications.LESSONSThe authors reported, for the first time, IDCA of the distal ACA in an infant. The trapping technique is often used for giant fusiform aneurysms in infants. Indocyanine green videoangiography is useful for evaluating peripheral blood flow during trapping in this case.

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Traumatic Anterior Cerebral Artery Pseudoaneurysmal Epistaxis

Liu

Xue

et al. 2017

World Neurosurgery

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Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

Cited by 4 publications

References 24 publications

Endovascular treatment for aneurysms at the A1 segment of the anterior cerebral artery: current difficulties and solutions

Endovascular treatment for aneurysms at the A1 segment of the anterior cerebral artery: current difficulties and solutions

Idiopathic dissecting cerebral aneurysm of the distal anterior cerebral artery in an infant successfully treated with aneurysmectomy: illustrative case

Traumatic Anterior Cerebral Artery Pseudoaneurysmal Epistaxis

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