PDF(Pubmed)
Abstract：
BACKGROUND: Traumatic aneurysms are a rare sequela of nonaccidental head trauma in infants. The rate of nonaccidental trauma (NAT) in the pediatric population is increasing; therefore, traumatic aneurysms are an important consideration in the evaluation of pediatric patients with abusive head trauma.
METHODS: A 24-day-old infant with no significant past medical or birth history presented with twitching and poor oral intake for 1 day. The patient was found to have bilateral subdural hematomas, multifocal contusions, and traumatic subarachnoid hemorrhage. NAT work-up was remarkable for a period of repeated and prolonged abuse. Magnetic resonance angiography revealed a right pericallosal traumatic aneurysm that was treated by means of coil and Onyx embolization.
CONCLUSIONS: Traumatic intracranial aneurysms are a rare but serious sequela of pediatric abusive trauma. Traumatic intracranial aneurysms should be considered in the setting of intracranial pathology associated with high-energy trauma. Despite new methods for the management of traumatic aneurysms, this pathology remains challenging to identify and treat, and the prognosis remains poor because of the diffuse injury often involved in these patients.
METHODS: A 24-day-old infant with no significant past medical or birth history presented with twitching and poor oral intake for 1 day. The patient was found to have bilateral subdural hematomas, multifocal contusions, and traumatic subarachnoid hemorrhage. NAT work-up was remarkable for a period of repeated and prolonged abuse. Magnetic resonance angiography revealed a right pericallosal traumatic aneurysm that was treated by means of coil and Onyx embolization.
CONCLUSIONS: Traumatic intracranial aneurysms are a rare but serious sequela of pediatric abusive trauma. Traumatic intracranial aneurysms should be considered in the setting of intracranial pathology associated with high-energy trauma. Despite new methods for the management of traumatic aneurysms, this pathology remains challenging to identify and treat, and the prognosis remains poor because of the diffuse injury often involved in these patients.
摘要：
背景：创伤性动脉瘤是婴儿非意外头部创伤的一种罕见后遗症。儿科人群中的非意外创伤（NAT）的发生率正在增加；因此，创伤性动脉瘤是评估儿童虐待性颅脑外伤患者的重要考虑因素。
方法：一名24天大的婴儿，没有明显的既往病史或出生史，表现为抽搐和口服不足1天。患者被发现有双侧硬膜下血肿，多焦挫伤,和外伤性蛛网膜下腔出血.在一段反复和长期的滥用期间，NAT的工作非常出色。磁共振血管造影显示右腹周创伤性动脉瘤，通过线圈和Onyx栓塞治疗。
结论：创伤性颅内动脉瘤是小儿虐待性创伤的一种罕见但严重的后遗症。在与高能量创伤相关的颅内病理背景下，应考虑创伤性颅内动脉瘤。尽管有新的治疗创伤性动脉瘤的方法,这种病理仍然难以识别和治疗，由于这些患者经常涉及弥漫性损伤，预后仍然很差。
方法：一名24天大的婴儿，没有明显的既往病史或出生史，表现为抽搐和口服不足1天。患者被发现有双侧硬膜下血肿，多焦挫伤,和外伤性蛛网膜下腔出血.在一段反复和长期的滥用期间，NAT的工作非常出色。磁共振血管造影显示右腹周创伤性动脉瘤，通过线圈和Onyx栓塞治疗。
结论：创伤性颅内动脉瘤是小儿虐待性创伤的一种罕见但严重的后遗症。在与高能量创伤相关的颅内病理背景下，应考虑创伤性颅内动脉瘤。尽管有新的治疗创伤性动脉瘤的方法,这种病理仍然难以识别和治疗，由于这些患者经常涉及弥漫性损伤，预后仍然很差。
