Top

Child's Nervous System

Published in:

01-02-2006 | Case Report

Traumatic cerebral aneurysm formation following ventriculoperitoneal shunt insertion

Authors: Michael David Jenkinson, Surajit Basu, John C. Broome, Paul Richard Eldridge, Neil Buxton

Published in: Child's Nervous System | Issue 2/2006

Abstract

Introduction

Iatrogenic intracranial aneurysms are rare in children.

Case report

A 15-year-old girl presented in coma with a fixed dilated left pupil six weeks following removal of a long-standing left-sided ventriculoperitoneal shunt. Computed tomography (CT) and cerebral angiography revealed a left temporoparietal intracerebral haemorrhage with a fusiform distal middle cerebral artery aneurysm. The patient underwent image-guided localisation of the aneurysm to enable evacuation of the haemorrhage and resection of the fusiform aneurysm.

Conclusion

A high index of suspicion is required for diagnosis and early treatment to prevent unnecessary morbidity and mortality.

Ammar A, Nasser M (1995) Intraventricular migration of VP shunt. Neurosurg Rev 18(4):293–295CrossRefPubMed

Benoit BG, Wortzman G (1973) Traumatic cerebral aneurysms. Clinical features and natural history. J Neurol Neurosurg Psychiatry 36:127–138PubMed

Daria A, Dorrizo A, Scamoni C, Cerati M, Balcone Grimaldi G (1997) Iatrogenic intracranial aneurysm. Case report and review of the literature. J Neurosurg Sci 41:195–202PubMed

Doh JW, Bae HG, Lee KS, Yun IG, Byun BJ (1995) Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter. Surg Neurol 43(4):340–343CrossRefPubMed

Fleischer AS, Patton JM, Tindalll GT (1975) Cerebral aneurysms of traumatic origin. Surg Neurol 4:233–239PubMed

Fox JL (1983) Intracranial aneurysms, 3 vols. Springer, Berlin Heidelberg New York, pp 419–431, (1453–1463)

Gutierrez FA, Bailes J, McLone DG (1987) Intracranial aneurysm and pseudo-aneurysm occurring during infancy and childhood: diagnosis and surgical results. Concepts Pediatr Neurosurg 7:153–168

Lassman LP, Ramani PS, Sengupta RP (1974) Aneurysms of peripheral cerebral arteries due to surgical trauma. Vasc Surg 8:1–5

Overton MC, Calvin TH (1996) Iatrogenic cerebral cortical aneurysm. Case report. J Neurosurg 24:672–675

10.

Scharfetter F, Fodisch HJ, Menardi G, Twerdy K (1976) Falsches Aneurysma der Arteria gyri angularis durch Gefãβverletzung bei einer Ventrikelpunktion. Acta Neurochir 33:123–132CrossRef

11.

Tranmer BI, Humphreys RP, Chuang SHS (1985) Microsurgical recovery of a migrated balloon from the internal carotid artery of a child. Neurosurgery 16:381–386PubMed

12.

Ventureyra ECG, Higgins MJ (1994) Traumatic intracranial aneurysms in childhood and adolescence. Case reports and review of the literature. Childs Nerv Syst 10:361–379CrossRefPubMed

13.

White PM, Teasdale E, Wardlaw JM, Easton V (2001) What is the most sensitive non-invasive strategy for the diagnosis of intracranial aneurysms? J Neurol Neurosurg Psychiatry 71:322–328CrossRefPubMed

14.

White PM, Wardlaw JM, Easton V (2000) Can noninvasive imaging accurately depict intracranial aneurysms? A systematic review. Radiology 217:361–370PubMed

Title: Traumatic cerebral aneurysm formation following ventriculoperitoneal shunt insertion
Authors: Michael David Jenkinson
Surajit Basu
John C. Broome
Paul Richard Eldridge
Neil Buxton
Publication date: 01-02-2006
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 2/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-005-1149-x

At a glance: The STEP trials

Springer Medicine

Traumatic cerebral aneurysm formation following ventriculoperitoneal shunt insertion

Abstract

Introduction

Case report

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case report

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2006

Successful treatment of multiple Pseudallescheria boydii brain abscesses and ventriculitis/ependymitis in a 2-year-old child after a near-drowning episode

Long-term effects of transient cerebellar mutism after cerebellar astrocytoma or medulloblastoma tumor resection in childhood

Immature teratoma arising from a benign cortical abnormality

February 2006

Unilateral (probable) moyamoya disease: long-term follow-up of seven cases

Autologous tissues for dural grafting in children: a report of 56 cases