Sep 16, 2020

Management of a ruptured intraventricular aneurysm arising from distal anterior choroidal artery (AChA): pediatric case report

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Pablo García FeijooFernando Eliseo Carceller Benito


Intracranial aneurysms arising from the distal anterior choroidal artery (AChA) are uncommon entities, with less than 30 cases reported. A 4-year-old boy was admitted to the Emergency Department with a sudden onset of severe headache and vomiting. CT scan of the head showed signs of intraventricular hemorrhage (IVH) and subarachnoid hemorrhage (SAH). Cerebral angiography revealed a right AChA aneurysm arising from a distal intraventricular branch with an associated microarteriovenous malformation (microAVM). Following a multidisciplinary assessment, the patient underwent surgical clipping. An ipsilateral transcortical transparietal approach was utilized. Early postoperative deficits were not found, and good clinical and radiological outcomes were assessed at long-term follow-up. Postoperative cerebral angiography showed complete exclusion and resection of both aneurysm and AVM. Surgery for intracranial aneurysms in this location can be challenging; however, good surgical and neurological outcomes can be achieved. The present work highlights the value of multidisciplinary assessment in the decision-making process in complex pediatric neurovascular pathology, especially when facing rare cases like this one, which represents the y...Continue Reading

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Mentioned in this Paper

X-Ray Computed Tomography
Anterior choroidal artery syndrome
Neurovascular Disorder

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