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Microsurgical management of a ruptured intracranial mycotic aneurysm in infancy.
Sánchez-Orbegoso, Orlando; Bocanegra-Becerra, Jhon E; Rojas-Apaza, Rolando; Cenzano-Ramos, José.
Afiliação
  • Sánchez-Orbegoso O; Department of Neurosurgery, Hospital Edgardo Rebagliati Martins, Essalud, Av. Rebagliati 490, Jesus Maria, 15072, Lima, Peru. orlandosanchez.2023@gmail.com.
  • Bocanegra-Becerra JE; Academic Department of Surgery, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
  • Rojas-Apaza R; Department of Neurosurgery, Hospital Edgardo Rebagliati Martins, Essalud, Av. Rebagliati 490, Jesus Maria, 15072, Lima, Peru.
  • Cenzano-Ramos J; Department of Neurosurgery, Hospital Edgardo Rebagliati Martins, Essalud, Av. Rebagliati 490, Jesus Maria, 15072, Lima, Peru.
Childs Nerv Syst ; 2024 Jun 27.
Article em En | MEDLINE | ID: mdl-38937287
ABSTRACT

INTRODUCTION:

During infancy, infectious aneurysms are uncommon and potentially fatal lesions with an imminent risk of intracranial hemorrhage development. CASE PRESENTATION A 1-month-old infant presented with loss of consciousness and clonic movements of the right superior limb after a work-up for Hirschsprung's disease. His physical exam revealed stupor, miosis, anterior fontanelle swelling, and hyperreflexia of the right superior limb. Blood cultures were positive for Candida albicans. In addition, brain imaging revealed an intraparenchymal hematoma in the left temporal lobe and a saccular aneurysm at the M3 segment of the left middle cerebral artery. Upon careful discussion with the patient's family, he underwent evacuation of the hematoma and aneurysm repair. His postoperative clinical course was uneventful. At the 5-month follow-up, a brain MRI showed encephalomalacia in the area of prior hemorrhage. Furthermore, he had preserved motor function and adequate psychomotor development on subsequent pediatric evaluations.

CONCLUSION:

Microsurgical management of ruptured mycotic aneurysms demands a systematic work-up and nuanced appraisal of clinical and aneurysmal factors. Operating in a confined space and considering the fragile nature of aneurysms are of utmost relevance for effectively treating these lesions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Childs Nerv Syst Assunto da revista: NEUROLOGIA / PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Peru País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Childs Nerv Syst Assunto da revista: NEUROLOGIA / PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Peru País de publicação: Alemanha