J Korean Neurosurg Soc.  2013 Jun;53(6):371-373. 10.3340/jkns.2013.53.6.371.

Middle Cerebral Artery Aneurysm in a Premature Neonate

• Choi CY
• Lee CH

• KMID: 2190827
• DOI: http://doi.org/10.3340/jkns.2013.53.6.371

Abstract

Intracranial aneurysms in the neonate are very rare and their clinicopathological findings remain unclear. We report a 26-day-old premature neonate who underwent microsurgical clipping on the ruptured middle cerebral artery bifurcation aneurysm successfully with a review of relevant literature.

Keyword

Cerebral aneurysm; Neonate; Clipping

MeSH Terms

Aneurysm
Humans
Infant, Newborn
Intracranial Aneurysm
Middle Cerebral Artery

Figure

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  Fig. 1 Enhanced computed tomography shows large subcortical hemorrhage and 1 cm sized, round enhancing lesion suspected of the cerebral aneurysm in the left cerebral hemisphere. Ventricular enlargement, midline shift due to mass effects and separation of suture lines are accompanied.

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  Fig. 2 CT angiograms reveal a large saccular aneurysm with 3×7 mm size on the middle cerebral artery bifurcation.

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  Fig. 3 Intraoperative photograph shows that aneurysmal neck clipping with hematoma evacuation are performed. There are no findings suggested of the infectious origin.

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  Fig. 4 The lateral skull X-ray shows ventriculoperitoneal shunt device and clip for aneurysm.

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