Journal of Medical Sciences

CASE REPORT
Year
: 2015  |  Volume : 35  |  Issue : 1  |  Page : 47--49

Ruptured infective intracranial aneurysm with intracerebral hemorrhage in an infant


Kin Sang Iao, Abel Po Hao Huang, Kuo Chuan Wang, Shih-Hung Yang 
 Department of Surgery, Division of Neurosurgery, National Taiwan University Hospital, Taipei, Taiwan

Correspondence Address:
Shih-Hung Yang
Department of Surgery, Division of Neurosurgery, National Taiwan University Hospital, Taipei
Taiwan

Intracranial aneurysms are rare in children. Less than 10% of pediatric intracranial aneurysms are infective aneurysms, and few cases of such aneurysms in infants have been reported in the literature. In this study, we report the case of a 1-month-old preterm infant presenting with recurrent intracerebral hemorrhage due to a ruptured intracranial infective aneurysm. Blood culture yielded Candida species. Brain computed tomography and cerebral angiography revealed a large intracerebral hematoma in the left frontal lobe and a 2.7-mm sized aneurysm in a distal branch of the middle cerebral artery. The patient underwent craniotomy for hematoma evacuation and aneurysm excision. After the surgical intervention, antifungal therapy, and rehabilitation treatment, the patient recovered with mild neurological sequelae. This case demonstrated that the aggressive treatment for infective intracranial aneurysm is key to a favorable outcome, even in a young infant.


How to cite this article:
Iao KS, Huang AP, Wang KC, Yang SH. Ruptured infective intracranial aneurysm with intracerebral hemorrhage in an infant.J Med Sci 2015;35:47-49


How to cite this URL:
Iao KS, Huang AP, Wang KC, Yang SH. Ruptured infective intracranial aneurysm with intracerebral hemorrhage in an infant. J Med Sci [serial online] 2015 [cited 2020 Sep 28 ];35:47-49
Available from: http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2015;volume=35;issue=1;spage=47;epage=49;aulast=Iao;type=0