NDLI: Spontaneous healing and complete disappearance of a ruptured posterior inferior cerebellar artery dissecting aneurysm.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Su, Tsung-Ming Cheng, Ching-Hsiao Chen, Wu-Fu Hsu, Shih-Wei
Description	Author Affiliation: Su TM ( Departments of Neurosurgery and.)
Abstract	A 7-month-old baby presented with a 4-day history of drowsiness and vomiting after a falling accident. Magnetic resonance imaging demonstrated diffuse subarachnoid hemorrhage, intraventricular hemorrhage, and variable stages of subdural hematoma in bilateral occipital and left temporal subdural spaces. A partially thrombosed aneurysm was noted in the right craniocervical junction. Ophthalmological examination revealed bilateral retinal petechial hemorrhages. Conventional cerebral angiography revealed a dissecting aneurysm in the right posterior inferior cerebellar artery (PICA). Endovascular embolization was suggested, but the family refused. After conservative treatment, follow-up MRI revealed that the PICA aneurysm had remodeled and ultimately disappeared completely at the 10th month. This case illustrates the relatively plastic nature of intracranial aneurysms in pediatric patients. More studies are necessary to clarify the natural history of spontaneously thrombosed aneurysms to assist in their overall management.
File Format	HTM / HTML
ISSN	19330707
Issue Number	5
Volume Number	13
e-ISSN	19330715
Journal	Journal of Neurosurgery: Pediatrics
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2014-05-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Cerebellum Ventriculoperitoneal Shunt Hydrocephalus Blood Supply Humans Parents Infant Male Embolization, Therapeutic Journal Article Aneurysm, Ruptured Case Reports Posterior Cerebral Artery Etiology Surgery Treatment Refusal Diagnosis Complications Tomography, X-ray Computed Discipline Neurosurgery Discipline Pediatrics Pathology Magnetic Resonance Imaging Remission, Spontaneous Aneurysm, Dissecting
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery Pediatrics, Perinatology and Child Health

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