Bibliographic Details
| Title: |
Traumatic intracranial aneurysms (TICA) in children: a description of two clinical cases of successful treatment and review of literature. |
| Authors: |
Livshits, I. Matvey, Berdinov, B. Farkhad, Musa, Gerald, Chmutin, E. Gennady, Levov, V. Alexander, Chmutin, G. Kirill, Zokhidov, U. Zokirzhon |
| Source: |
Child's Nervous System; Nov2022, Vol. 38 Issue 11, p2063-2070, 8p |
| Subject Terms: |
INTRACRANIAL aneurysms, BRAIN abscess, PENETRATING wounds, ANTERIOR cerebral artery, CEREBRAL angiography, TREATMENT effectiveness, BRAIN injuries |
| Abstract: |
Objective: Traumatic intracranial aneurysms (TICA) across all age groups make up less than 1% of all aneurysms. Traumatic aneurysms in children occur from 10 to 39%, and their treatment requires special considerations. Even though readily diagnosed, the management of traumatic intracranial aneurysms in children is still a subject for discussion. Two cases of traumatic aneurysms following penetrating and blunt trauma are presented. Case description: Two cases of traumatic aneurysms are presented. The first patient presented with an aneurysm of the distal M4 segment of the left middle cerebral artery (MCA) 1 week following blunt traumatic brain injury with skull fractures. The aneurysm was excised without complications. The second patient presented with a saccular aneurysm of the A2 segment of the left anterior cerebral artery (ACA) following penetrating traumatic brain injury with a metal rod. The aneurysm was discovered incidentally on computed tomography angiography (CTA) performed to exclude a brain abscess when the patient developed a persistent fever. After numerous unsuccessful attempts at endovascular embolization, microsurgical aneurysm clipping was performed without complications. Conclusion: Traumatic intracerebral aneurysms are relatively more common in childhood. They commonly occur in the first 21 days post-trauma but can also occur in the late period. We, therefore, recommend that CTA or direct cerebral angiography should be performed within the first 3 weeks to exclude TICA and in all patients with sudden deterioration in the early postoperative period. Considering the high mortality rate associated with conservative management, surgical and/or endovascular management should be performed once the diagnosis is made. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
