9个月婴儿复杂ACoM动脉瘤破裂的血管内治疗：一例罕见病例报告及文献复习。

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

Neuroradiology Pub Date : 2025-09-01 Epub Date: 2025-08-12 DOI:10.1007/s00234-025-03743-6

Vinayagamani Selvadasan, Arunkumar Natarajan, Arunkumar M J, Uday S Limaye

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引用次数: 0

摘要

婴儿颅内动脉瘤破裂是非常罕见的，尤其是前交通动脉（ACoM）的囊状动脉瘤。我们报告了一个9个月大的婴儿，由于复杂的ACoM动脉瘤破裂，并伴有两个小的右侧A2囊状动脉瘤，导致蛛网膜下腔和脑室内出血。该患儿成功接受了球囊辅助血管内盘绕术，临床无症状血管痉挛，神经系统完全恢复。据我们所知，这是首例采用血管内盘绕术治疗婴儿囊状动脉瘤破裂并获得良好功能结果的报道。本病例支持在选定的儿童动脉瘤病例中进行血管内治疗的可行性。

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Endovascular management of a ruptured complex ACoM aneurysm in a 9-month-old infant: a rare case report and literature review.

Ruptured intracranial aneurysms in infants are exceptionally rare, particularly saccular aneurysms of the anterior communicating artery (ACoM). We report a 9-month-old infant presenting with subarachnoid and intraventricular hemorrhage due to a ruptured complex ACoM aneurysm, along with two small right A2 saccular aneurysms. The child underwent successful balloon-assisted endovascular coiling, with clinically silent vasospasm and full neurological recovery. To our knowledge, this is the first reported case of a ruptured infantile saccular ACoM aneurysm treated with endovascular coiling resulting in a good functional outcome. This case supports the feasibility of endovascular treatment in selected pediatric aneurysm cases.

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来源期刊

Neuroradiology 医学-核医学

CiteScore

5.30

自引率

3.60%

发文量

214

审稿时长

4-8 weeks

期刊介绍： Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.