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Open Access 10-05-2023 | Intracranial Aneurysm | Case Report

Paediatric subarachnoid haemorrhage and severe vasospasm secondary to traumatic pseudoaneurysm of a fenestrated vertebral artery: a case report and review of the literature

Authors: Michelle Kameda-Smith, Greg James, Kiran Seunarine, Adam Rennie, Fergus Robertson, Adikarige Haritha Dulanka Silva

Published in: Child's Nervous System | Issue 8/2023

Abstract

Paediatric intracranial aneurysms are rare entities accounting for less than 5% of all age intracranial aneurysms. Traumatic aneurysms are more common in children and have an association with anatomical variations such as arterial fenestrations. Here, we present a case of a child initially presenting with traumatic subarachnoid haemorrhage who returned to baseline and was discharged home only to return within 2 weeks with diffuse subarachnoid and intraventricular re-haemorrhage. A dissecting aneurysm of a duplicated (fenestrated) V4 vertebral artery segment was identified as a rare cause of rebleeding. We describe a course complicated by severe vasospasm delaying aneurysm detection and treatment. Dissecting aneurysms in children should be considered in all cases of delayed post-traumatic cranial rebleeding, particularly where there is anomalous arterial anatomy.

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Title: Paediatric subarachnoid haemorrhage and severe vasospasm secondary to traumatic pseudoaneurysm of a fenestrated vertebral artery: a case report and review of the literature
Authors: Michelle Kameda-Smith
Greg James
Kiran Seunarine
Adam Rennie
Fergus Robertson
Adikarige Haritha Dulanka Silva
Publication date: 10-05-2023
Publisher: Springer Berlin Heidelberg
Keywords: Intracranial Aneurysm
Subarachnoid Hemorrhage
Aneurysm
Aneurysm
Subarachnoid Hemorrhage
Published in: Child's Nervous System / Issue 8/2023
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-023-05894-4

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Paediatric subarachnoid haemorrhage and severe vasospasm secondary to traumatic pseudoaneurysm of a fenestrated vertebral artery: a case report and review of the literature

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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