Download PDF
Neuropediatrics 2011; 42(05): 204-206
DOI: 10.1055/s-0031-1291221
Short Communication
© Georg Thieme Verlag KG Stuttgart · New York

Traumatic Aneurysm on the Posterior Cerebral Artery Following Blunt Trauma in a 14-Year-Old Girl: Case Report

C. Zhang
1   Shanghai Changzheng Hospital, Shanghai, People’s Republic of China
,
H. Chen
1   Shanghai Changzheng Hospital, Shanghai, People’s Republic of China
,
R. Bai
1   Shanghai Changzheng Hospital, Shanghai, People’s Republic of China
› Author Affiliations
Further Information

Publication History

received 14 April 2011

accepted 15 September 2011

Publication Date:
24 October 2011 (online)

    Permissions and Reprints

Abstract

A 13-year-old girl sufferring from a car accident presented with a symptom of oculomotor nerve palsy. A CT scan revealed diffuse SAH in the suprasellar cistern, cisterna ambiens and interpeduncular cistern. MRI showed contusion of the left cerebral peduncle and a flowing void signal in front of the left cerebral peduncle. Cerebral angiography revealed a bilobulated aneurysm on the P1-P2 junction of the left posterior cerebral artery. Endovascular treatment was performed, with coil packing within the aneurysm and occlusion of the parent vessel. There were no neurological deficits and no recurrence of the aneurysm on follow-up studies. Endovascular embolization of traumatic posterior cerebral artery aneurysm is a safe and effective therapeutic approach.

Key words

traumatic intracranial aneurysms - oculomotor nerve palsy - endovascular embolization
 

  • References

  • 1 Buckingham MJ, Crone KR, Ball WS et al. Traumatic intracranial aneurysms in childhood: two cases and a review of the literature. Neurosurgery 1988; 22: 398-408
    CrossrefPubMedGoogle Scholar
  • 2 Binning MJ, Hauschild TB, Amini A et al. Delayed post-traumatic saccular aneurysm of PICA in an adolescent. Acta Neurochir (Wien) 2009; 151: 1647-1648
    CrossrefPubMedGoogle Scholar
  • 3 Ciceri EF, Klucznik RP, Grossman RG et al. Aneurysms of the posterior cerebral artery: classification and endovascular treatment. AJNR Am J Neuroradiol 2001; 22: 27-34
    PubMedGoogle Scholar
  • 4 Fullerton HJ, Johnston SC, Smith WS. Arterial dissection and stroke in children. Neurology 2001; 57: 1155-1160
    CrossrefPubMedGoogle Scholar
  • 5 Fusco MR, Harrigan MR. Cerebrovascular dissections: a review. Part II: blunt cerebrovascular injury. Neurosurgery 2011; 68: 517-530 discussion 530
    CrossrefPubMedGoogle Scholar
  • 6 Hetts SW, Narvid J, Sanai N et al. Intracranial aneurysms in childhood: 27-year single-institution experience. AJNR Am J Neuroradiol 2009; 30: 1315-1324
    CrossrefPubMedGoogle Scholar
  • 7 Lin PH, Dodson TF, Bush RL et al. Surgical intervention for complications caused by femoral artery catheterization in pediatric patients. J Vasc Surg 2001; 34: 1071-1078
    CrossrefPubMedGoogle Scholar
  • 8 Morón F, Benndorf G, Akpek S et al. Spontaneous thrombosis of a traumatic posterior cerebral artery aneurysm in a child. AJNR Am J Neuroradiol 2005; 26: 58-60
    PubMedGoogle Scholar
  • 9 Van Rooij Sluzewski M, Beute GN. Endovascular treatment of posterior cerebral artery aneurysms. AJNR Am J Neuroradiol 2006; 27: 300-305
    PubMedGoogle Scholar
  • 10 Ventureyra EC, Higgins MJ. Traumatic intracranial aneurysms in childhood and adolescence: case reports and review of the literature. Childs Nerv Syst 1994; 10: 361-379
    CrossrefPubMedGoogle Scholar
  • 11 Wang H, Orbach DB. Traumatic dissecting aneurysm at the vertebrobasilar junction in a 3-month-old infant: evaluation and treatment strategies. Case report. J Neurosurg Pediatr 2008; 1: 415-419
    CrossrefPubMedGoogle Scholar