Infectious aneurysmal rupture presenting as massive intracerebral hemorrhage in a preterm baby |
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Authors: | Hyun-Seung Kang So Dug Lim Young-Cho Koh |
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Institution: | (1) Department of Neurosurgery, Konkuk University Hospital, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729, South Korea;(2) Department of Pathology, Konkuk University Hospital, Seoul, South Korea |
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Abstract: | Introduction Infectious intracranial aneurysms in infantile period are very rare, and there is no report of infectious intracranial aneurysm
in preterm infant
Case report A 43-day-old female infant, delivered at 29 weeks of gestation, presented with massive intracranial hemorrhage. Eighteen days
after diagnoses of necrotizing enterocolitis, sepsis, and meningitis, the baby became lethargic with rigid left limbs. Imaging
studies revealed a large hematoma in the right temporoparietal region and adjacent lateral ventricle. During removal of fresh
hematoma, an actively bleeding nodular mass, contiguous with the distal middle cerebral artery branch, was found and excised
from the parent vessel. Pathologic examination revealed a ruptured infectious intracranial aneurysm. After surgery, her neurologic
status improved and she was doing well at 12 months’ follow-up with mild spastic hemiparesis.
Conclusion To our knowledge, this is the first reported case of infectious intracranial aneurysm in the preterm infant, which was successfully
treated with hematoma evacuation and resection of the aneurysm. |
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Keywords: | Infectious aneurysm Intracranial aneurysm Intracerebral hemorrhage Necrotizing enterocolitis Preterm infant |
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