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J Neurol Surg A Cent Eur Neurosurg 2023; 84(04): 399-403
DOI: 10.1055/s-0041-1739209
Case Report

Ruptured Aneurysm of the Anterior Communicating Artery in a Newborn: A Case Report and Review of the Literature

Radek Frič 
1   Department of Neurosurgery, Oslo University Hospital – Rikshospitalet, Oslo, Norway
,
Bård Nedregaard
2   Department of Radiology and Nuclear Medicine, Oslo University Hospital – Rikshospitalet, Oslo, Norway
,
Ketil Riddevold Heimdal
3   Department of Medical Genetics, Oslo University Hospital – Rikshospitalet, Oslo, Norway
,
Clemens Weber
4   Department of Neurosurgery, Stavanger University Hospital, Stavanger, Norway
5   Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
,
Bernt Johan Due-Tønnessen
1   Department of Neurosurgery, Oslo University Hospital – Rikshospitalet, Oslo, Norway
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Abstract

We report the case of a 3-week-old neonate who presented with massive subarachnoid and intraventricular hemorrhage from a ruptured aneurysm of the anterior communicating artery (ACommA). An attempt on endovascular treatment ended up with therapeutic closure of the parent artery. However, since further investigation revealed a disastrous supratentorial cerebral infarction as a result of the hemorrhage, active treatment was terminated and the neonate died a few days after the initial stroke. To the best of our knowledge and after reviewing available literature, this is one of only five cases of ACommA aneurysm in newborns reported to date. Bleeding from an ACommA aneurysm in a neonate thus represents an extreme clinical rarity. There are no available data comparing the efficacy and safety of microsurgical versus endovascular treatment in neonates and small infants, but the latter option may at least reduce the risk associated with open surgery and further blood loss in this age group.

Keywords

intracranial aneurysm - subarachnoid hemorrhage - newborn


Publication History

Received: 06 January 2021

Accepted: 23 April 2021

Article published online:
12 December 2021

© 2021. Thieme. All rights reserved.

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