A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: case report

Neurosurgery
Patrick ShihRobert F Spetzler

Abstract

We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.

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Citations

Nov 10, 2011·Journal of Pediatric Neurosciences·V R K Rao, S N Mathuriya
May 20, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sherif RashadTeiji Tominaga
Jul 26, 2016·Journal of Korean Neurosurgical Society·Charles ChampeauxGuillaume Penchet

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