Ruptured Middle Cerebral Artery Aneurysm in an Infant: Case Report and Literature Review

Abstract

Intracranial aneurysms (IA) in infants are reportedly rare at 0.5% to 4.5% of all aneurysms. Furthermore, subarachnoid hemorrhage in infants younger than three months are even rarer as it has been reported in approximately 20 cases only till date. A 3-month-old infant with seizures and impaired consciousness was admitted to our hospital. Three-dimensional computed tomography angiography (3D-CTA) revealed a dissecting aneurysm with a maximum diameter of 13 mm in the right M2. Internal trapping using detachable coil were successfully performed, following which he was discharged without significant neurological deficit after one month of onset. Thus, we have reported a rare case of a large ruptured dissecting IA in a 3-month-old infant, in the right middle cerebral artery (MCA), successfully treated with an endovascular therapy, along with a literature review.

Successful Surgical Management of a Ruptured Intracranial Aneurysm in a Nine-Month-Old Male: A Rare Pediatric Case

“…The introduction of angiography revolutionized the field by enabling the diagnosis of SAH in living patients [ 6 ]. IAs are infrequent in infants, representing an estimated 0.5-4.5% of all aneurysms [ 7 ]. Presently, two primary modalities of treatment exist: endovascular and microsurgical approaches.…”