A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: Case report

Patrick Shih; Tilina Pinnaduwage; Leland S. Hu; Robert F. Spetzler

doi:10.1227/01.NEU.0000371986.84423.DE

A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: Case report

Patrick Shih, Tilina Pinnaduwage, Leland S. Hu, Robert F. Spetzler

Diagnostic Radiology

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

OBJECTIVE: We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. CLINICAL PRESENTATION: The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. INTERVENTION: An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. CONCLUSION: This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.

Original language	English (US)
Pages (from-to)	E518
Journal	Neurosurgery
Volume	67
Issue number	2
DOIs	https://doi.org/10.1227/01.NEU.0000371986.84423.DE
State	Published - Aug 2010

Keywords

Aneurysm
Cerebral
Intracranial
Pediatric

ASJC Scopus subject areas

Surgery
Clinical Neurology

Access to Document

10.1227/01.NEU.0000371986.84423.DE

Cite this

@article{1108296bb3ed4fea9dd3a2d2d131107c,

title = "A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: Case report",

abstract = "OBJECTIVE: We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. CLINICAL PRESENTATION: The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. INTERVENTION: An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. CONCLUSION: This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.",

keywords = "Aneurysm, Cerebral, Intracranial, Pediatric",

author = "Patrick Shih and Tilina Pinnaduwage and Hu, {Leland S.} and Spetzler, {Robert F.}",

year = "2010",

month = aug,

doi = "10.1227/01.NEU.0000371986.84423.DE",

language = "English (US)",

volume = "67",

pages = "E518",

journal = "Neurosurgery",

issn = "0148-396X",

publisher = "Lippincott Williams and Wilkins",

number = "2",

}

TY - JOUR

T1 - A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm

T2 - Case report

AU - Shih, Patrick

AU - Pinnaduwage, Tilina

AU - Hu, Leland S.

AU - Spetzler, Robert F.

PY - 2010/8

Y1 - 2010/8

N2 - OBJECTIVE: We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. CLINICAL PRESENTATION: The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. INTERVENTION: An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. CONCLUSION: This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.

AB - OBJECTIVE: We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. CLINICAL PRESENTATION: The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. INTERVENTION: An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. CONCLUSION: This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.

KW - Aneurysm

KW - Cerebral

KW - Intracranial

KW - Pediatric

UR - http://www.scopus.com/inward/record.url?scp=77954984193&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954984193&partnerID=8YFLogxK

U2 - 10.1227/01.NEU.0000371986.84423.DE

DO - 10.1227/01.NEU.0000371986.84423.DE

M3 - Article

C2 - 20644385

AN - SCOPUS:77954984193

SN - 0148-396X

VL - 67

SP - E518

JO - Neurosurgery

JF - Neurosurgery

IS - 2

ER -

A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: Case report

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this