Minimally invasive management of a traumatic artery aneurysm resulting from shaken baby syndrome

Pediatric Neurosurgery
Nicholas B LevineK R Crone

Abstract

Based on our review of the literature, we present the first use of coiling in an infant with a traumatic artery aneurysm that resulted from shaken baby syndrome. Computed tomography (CT) scans showed a skull fracture, hemorrhagic subdural collections, multiple parenchymal contusions, and intraventricular and subarachnoid hemorrhages in a 3-week-old infant who presented with lethargy, poor feeding, and seizure. These multiple injuries were consistent with shaken baby syndrome. After closed-head injury medical management, including subdural taps, the baby was discharged home. When increasing seizures and hydrocephalus developed 8 months later, CT angiographic scans showed a pseudoaneurysm of the anterior cerebral artery. We successfully occluded the aneurysm with pushable coils placed via a microcatheter and treated the obstructive hydrocephalus with endoscopic third ventriculostomy. We show that minimally invasive radiological and surgical techniques may be effective in managing the sequelae of trauma in children.

Citations

Jun 22, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Felipe Padovani TrivelatoAlexandre Varella Giannetti
Nov 3, 2009·Journal of Neurosurgery. Pediatrics·Ricky MedelAaron S Dumont
Nov 7, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kinda AltaliEsther Aleo
Apr 22, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Y Van RaayM Zérah
Jun 30, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D R BuisW P Vandertop
Dec 9, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ashish KumarLeodante Dacosta
Nov 22, 2005·Radiologic Clinics of North America·M J B StallmeyerAdam E Flanders
Feb 17, 2015·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Akshal S PatelKevin M Cockroft
Jan 1, 2015·F1000Research·Sunil MunakomiIype Cherian

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