Article

Ruptured middle cerebral artery aneurysm in an infant presenting as acute subdural hematoma: a case report.

Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Pediatric Neurosurgery (impact factor: 0.7). 02/2008; 44(5):397-401. DOI:10.1159/000149908 pp.397-401
Source: PubMed

ABSTRACT We present an unusual case of ruptured infantile cerebral aneurysm. An eight-month-old infant was delivered to the hospital in poor condition, after convulsions, with no history of trauma. His emergent CT study revealed acute subdural hematoma. The clinical and radiological picture evoked suspicion that the hematoma was of aneurysmal origin. The infant was operated with special preparations and precautions appropriate for aneurysmal surgery, and has shown a good recovery. It is important to consider the possibility of vascular accident in infants with subdural hematoma of nontraumatic origin. A good outcome may be achieved when appropriate preparations are made prior to surgery.

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Keywords

acute subdural hematoma
 
aneurysmal origin
 
aneurysmal surgery
 
clinical
 
convulsions
 
emergent CT study
 
good outcome
 
infantile cerebral aneurysm
 
nontraumatic origin
 
precautions appropriate
 
radiological picture evoked suspicion
 
special preparations
 
subdural hematoma
 
unusual case