Browse

Infectious aneurysmal rupture presenting as massive intracerebral hemorrhage in a preterm baby

Cited 3 time in Web of Science Cited 4 time in Scopus
Authors
Kang, Hyun-Seung; Lim, So Dug; Koh, Young-Cho
Issue Date
2007-11-08
Publisher
Springer Verlag
Citation
Childs Nerv Syst. 24(2):265-268
Keywords
Aneurysm, Infected/complications/*pathology/surgeryAnti-Bacterial Agents/therapeutic useAntifungal Agents/therapeutic useCerebral Hemorrhage/*etiology/surgeryEnterocolitis, Necrotizing/drug therapyFemaleHumansInfant, NewbornIntracranial Aneurysm/complications/*pathology/surgeryMeningitis, Bacterial/drug therapyPregnancyPremature BirthSepsis/drug therapy
Abstract
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.
ISSN
1433-0350 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17987302

http://www.springerlink.com/content/j026357g21311x1k/fulltext.pdf

http://hdl.handle.net/10371/68410
DOI
https://doi.org/10.1007/s00381-007-0454-y
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Neurosurgery (신경외과학전공)Journal Papers (저널논문_신경외과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse