CASE REPORTS   

Journal of Neurosurgical Sciences 2009 September;53(3):131-6

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Internal carotid bifurcation aneurysm in childhood: a case report and literature review

Meireles Borba A. ¹, Santana Pereira R. S. ², Godinho A. ³, Casulari L. A. ⁴ ✉

¹ Department of Neurosurgery, University Hospital of Brasília, Anchieta Hospital, Brasília-DF, Brazil; ² Neurosurgery Department, Base Hospital of Brasília, Brasília-DF, Brazil; ³ Neurosurgery Department, Base Hospital of Brasília and Anchieta Hospital, Brasília-DF, Brazil; ⁴ Endocrinology Department, University Hospital of Brasília, Brasília-DF, Brazil

Childhood aneurysms are rare pathological findings. They present with a low incidence and have characteristic features. When occurred in the first year of life or when giant-sized, survival and recovery may be worst. Nevertheless outcomes are generally better than in adults. A surgical case of an eleven year old boy with excellent outcome is reported, with a subsequent review on the subject. Patients may present with classical subarachnoidal hemorrhage, but also with compressive signs with bigger and unruptured lesions. Initial management of these cases is basically the same of older patients, considering their age, weight and special intensive care for infants. Surgical principles, outcomes and etiology are analyzed.