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Child's Nervous System
Published in: Child's Nervous System 6/2007

01-06-2007 | Case Report

HydroCoil embolization of a ruptured infectious aneurysm in a pediatric patient: case report and review of the literature

Authors: Christopher Eddleman, Dimitrios Nikas, Ali Shaibani, Pervez Khan, Arthur J. DiPatri Jr, Tadanori Tomita

Published in: Child's Nervous System | Issue 6/2007

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Abstract

Introduction

Intracranial infectious aneurysms in the pediatric population are rare. Although surgery has been the traditional treatment of ruptured pediatric infectious aneurysms, endovascular coil embolization has become an attractive alternative due to its low rate of morbidity and mortality.

Case report

A 9-year-old boy with a significant medical history of aortic valve replacement, antibiotic-treated infective endocarditis, and multiple embolic cerebral infarcts presented with a high-grade intraventricular hemorrhage due to the rupture of a large infectious proximal posterior circulation aneurysm. Computed tomography and cerebral angiogram demonstrated a right crural/ambient cistern hematoma and an associated infectious aneurysm of the right proximal posterior cerebral artery. The ruptured infectious aneurysm was coil-embolized with hydrogel-coated platinum coils without sacrifice of the distal parent artery. The aneurysm was completely occluded, and the patient regained all neurological function.

Conclusion

Ruptured infectious aneurysms in the pediatric population occur despite aggressive medical therapy. Patients with infective endocarditis and embolic infarcts should be followed closely due to the risk of major hemorrhagic events, including aneurysm rupture. Hybrid coil embolization of ruptured infectious aneurysms with preservation of the distal parent artery is exceedingly rare and effective in the management of ruptured infectious aneurysms in the pediatric population.
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Metadata
Title
HydroCoil embolization of a ruptured infectious aneurysm in a pediatric patient: case report and review of the literature
Authors
Christopher Eddleman
Dimitrios Nikas
Ali Shaibani
Pervez Khan
Arthur J. DiPatri Jr
Tadanori Tomita
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 6/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0264-7

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