Subarachnoidal hemorrhage due to aneurysmatic rupture of the anterior communicating complex in a pediatric patient

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Title Subarachnoidal hemorrhage due to aneurysmatic rupture of the anterior communicating complex in a pediatric patient
Hemorragia sub-aracnoidea por ruptura aneurismática del complejo comunicante anterior en un paciente pediátrico Subarachnoidal hemorrhage due to aneurysmatic rupture of the anterior communicating complex in a pediatric patient
 
Creator Morales, Omar
Rodríguez, María
Urbano, Daniel
Molina, Luis
 
Subject
intracranial aneurysm, subarachnoidal hemorrhage, pediatric, rupture, spontaneous.

aneurisma intracraneal, hemorragia subaracnoidea, pediatría, rotura, espontánea. intracranial aneurysm, subarachnoidal hemorrhage, pediatric, rupture, spontaneous.
 
Description Brain aneurysms in pediatric age are a rare pathology, it is important to take it into account when evaluating pediatric patients with characteristic clinical manifestations. They usually appear in the anterior circulation, in male patients with a mean age of 14.5 years. A case of a cerebral aneurysm of the anterior communicating complex is presented in a 10-year-old male patient with indicative symptoms as sudden onset headache, incoercible vomiting, and decreased state of consciousness. A simple skull computed tomography (CT) was performed where was evidenced the presence of a subarachnoid hemorrhage (SAH) Fisher II, and a CT angiography was also performed to determine the etiology of the bleeding. The study confirmed the presence of an aneurysm in the anterior communicating complex. Clipping of the aneurysm was performed using a classic pterional approach, obtaining great results and a satisfactory recovery. It is important to consider the benefits of endovascular intervention as a treatment option in similar cases.
Los aneurismas cerebrales en edad pediátrica son una patología poco frecuente, es importante tomarla en cuenta al evaluar pacientes pediátricos con manifestaciones clínicas características. Suelen localizarse en la circulación anterior, en pacientes masculinos con una edad media de 14.5 años. Se presenta un caso de un aneurisma cerebral del complejo comunicante anterior en un paciente masculino de 10 años de edad con clínica indicativa dada por cefalea de inicio súbito, vómitos incoercibles y disminución del estado de consciencia. Se realizó tomografía computarizada (TC) de cráneo simple donde se evidencia la presencia de hemorragia sub aracnoidea (HSA) Fisher II, se practica angiografía por TC para determinar la etiología del sangrado. El estudio confirmó la presencia de un aneurisma en el complejo comunicante anterior. Se realizó clipaje del aneurisma mediante un abordaje pterional clásico, obteniendo excelentes resultados y una recuperación satisfactoria. Es importante considerar los beneficios de la intervención endovascular como opción de tratamiento en casos semejantes.  Brain aneurysms in pediatric age are a rare pathology, it is important to take it into account when evaluating pediatric patients with characteristic clinical manifestations. They usually appear in the anterior circulation, in male patients with a mean age of 14.5 years. A case of a cerebral aneurysm of the anterior communicating complex is presented in a 10-year-old male patient with indicative symptoms as sudden onset headache, incoercible vomiting, and decreased state of consciousness. A simple skull computed tomography (CT) was performed where was evidenced the presence of a subarachnoid hemorrhage (SAH) Fisher II, and a CT angiography was also performed to determine the etiology of the bleeding. The study confirmed the presence of an aneurysm in the anterior communicating complex. Clipping of the aneurysm was performed using a classic pterional approach, obtaining great results and a satisfactory recovery. It is important to consider the benefits of endovascular intervention as a treatment option in similar cases.
 
Publisher GICOS
 
Contributor

 
Date 2021-10-12
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion



 
Format application/pdf
 
Identifier http://erevistas.saber.ula.ve/index.php/gicos/article/view/17429
 
Source GICOS; Vol. 6, Núm. 4 (2021): julio-diciembre; 230-237
2610-797X
 
Language spa
 
Relation http://erevistas.saber.ula.ve/index.php/gicos/article/view/17429/21921928627
 
Rights Copyright (c) 2021 GICOS
 

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