S-Space College of Medicine/School of Medicine (의과대학/대학원) Neurosurgery (신경외과학전공) Journal Papers (저널논문_신경외과학전공)
Infectious aneurysmal rupture presenting as massive intracerebral hemorrhage in a preterm baby
- Kang, Hyun-Seung; Lim, So Dug; Koh, Young-Cho
- Issue Date
- Springer Verlag
- Childs Nerv Syst. 24(2):265-268
- Aneurysm, Infected/complications/*pathology/surgery; Anti-Bacterial Agents/therapeutic use; Antifungal Agents/therapeutic use; Cerebral Hemorrhage/*etiology/surgery; Enterocolitis, Necrotizing/drug therapy; Female; Humans; Infant, Newborn; Intracranial Aneurysm/complications/*pathology/surgery; Meningitis, Bacterial/drug therapy; Pregnancy; Premature Birth; Sepsis/drug therapy
- INTRODUCTION: Infectious intracranial aneurysms in infantile period are very rare, and there is no report of infectious intracranial aneurysm in preterm infant CASE REPORT: A 43-day-old female infant, delivered at 29 weeks of gestation, presented with massive intracranial hemorrhage. Eighteen days after diagnoses of necrotizing enterocolitis, sepsis, and meningitis, the baby became lethargic with rigid left limbs. Imaging studies revealed a large hematoma in the right temporoparietal region and adjacent lateral ventricle. During removal of fresh hematoma, an actively bleeding nodular mass, contiguous with the distal middle cerebral artery branch, was found and excised from the parent vessel. Pathologic examination revealed a ruptured infectious intracranial aneurysm. After surgery, her neurologic status improved and she was doing well at 12 months' follow-up with mild spastic hemiparesis. CONCLUSION: To our knowledge, this is the first reported case of infectious intracranial aneurysm in the preterm infant, which was successfully treated with hematoma evacuation and resection of the aneurysm.
- 1433-0350 (Electronic)
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