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 1 2010

Keywords

Aneurysm
Cerebral
Intracranial
Pediatric

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1227/01.NEU.0000371986.84423.DE

Cite this

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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.",

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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.

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

Abstract

Keywords

ASJC Scopus subject areas

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