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Endovascular Treatment of a Giant Dissecting Aneurysm in an Infant
Gatto, Luana Antunes Maranha; Barro, Adriel; Tacla, Rafaella do Rosario; Demartini Jr, Zeferino; Koppe, Gelson Luis.
  • Gatto, Luana Antunes Maranha; Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC). BR
  • Barro, Adriel; Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC). BR
  • Tacla, Rafaella do Rosario; Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC). BR
  • Demartini Jr, Zeferino; Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC). BR
  • Koppe, Gelson Luis; Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC). BR
Arq. bras. neurocir ; 37(3): 217-222, 2018.
Article in English | LILACS | ID: biblio-1362867
ABSTRACT
Introduction The incidence of intracranial aneurysms in the pediatric population is low, and endovascular treatment is becoming a safe and minimally invasive treatment option. In the present study, the occurrence of special features of cerebral aneurysm in children, in comparison to adults, is also described. Case Report A 3-month-old female infant presented with progressive proptosis and divergent strabismus at the right eye, in addition to inconsolable crying. Cerebral resonance, angiotomography and angiography exams demonstrated angiodysplasia in the right internal carotid artery with two large paraclinoid dissecting aneurysms with wide neck. The right internal carotid artery was occluded with coils by endovascular approach, without detriment to the perfusion of the ipsilateral hemisphere and without neurological deficits. The patient achieved good recovery, and a late control angiotomography confirmed the exclusion of the aneurysms. Conclusion Parent artery sacrifice via endovascular approach is an effective therapeutic option, but a long-termfollow-up is necessary to avoid recurrence and bleeding.
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Full text: Available Index: LILACS (Americas) Main subject: Carotid Artery, Internal / Intracranial Aneurysm / Endovascular Procedures / Aortic Dissection Limits: Female / Humans / Infant Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Carotid Artery, Internal / Intracranial Aneurysm / Endovascular Procedures / Aortic Dissection Limits: Female / Humans / Infant Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Universitário Cajuru da Pontifícia Universidade Católica (HUC-PUC)/BR