J Neurol Surg A Cent Eur Neurosurg 2015; 76 - A072
DOI: 10.1055/s-0035-1566391

Intracranial Aneurysms in Children Associated with Arteriovenous Malformation

M. Mrdak 1, N. Repac 2, I. Nikolić 2, 3, A. Janićijević 2, M. Mihajlović 1, L. Rasilić 1, 2, G. Tasić 1, 2
  • 1University Pediatric Hospital, Belgrade, Serbia
  • 2Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
  • 3Medical Faculty, University of Belgrade, Belgrade, Serbia

Introduction Intracranial aneurysms are very rare in the pediatric population. Very rarely, they are accompanied by subarachnoid hemorrhage (SAH). As in the adults they are most often discovered after their rupture.

Case Report We report the case of a 14-month-old child at the time of rupture of the aneurysm, which led to intraventricular hemorrhage and accompanied by left side body weakness. After diagnosis, digital subtraction angiography (DSA) aneurysm on the posterior chorioid artery was verified. Consultatory there was no decision for surgical treatment. The child is now 6 years old, there is a discrete left side pyramidal deficit, control DSA—finding stationary.

Conclusion Despite the development of modern diagnosis of intracranial aneurysms, their treatment is still a big challenge. Child's brain has great recovery potential, which encourages aggressive therapy for these disorders and provide good results. In younger patients with ruptured aneurysms and vascular anomalies associated with neurological deficit, where surgical treatment or endovascular procedures associated with the high risk of complications, conservative treatment is indicated.

Keywords intracranial aneurysm; pediatric