Abstract：
BACKGROUND: Intracranial aneurysms are rare in the pediatric age group, especially in neonates. This article presents a novel case of a neonate with a dissected and ruptured giant anterior cerebral artery aneurysm, focusing on diagnosis and endovascular treatment with a review of the literature.
METHODS: A full-term female neonate presented with projectile vomiting, fever, and hyperkinetic movements. Diagnostic workup revealed a giant dissecting and partially thrombosed aneurysm along the anterior cerebral artery. The neonate underwent successful endovascular coil embolization.
RESULTS: The intervention led to the cessation of symptoms, and the patient was discharged and followed with mild hypotonia as the only neurological deficit at 9 months.
CONCLUSIONS: This case highlights the rarity and complexity of diagnosing and treating giant dissected anterior cerebral artery aneurysms in neonates. It underscores the importance of considering intracranial aneurysms in differential diagnosis for neonates with relevant symptoms and suggests endovascular embolization as an effective treatment option.
METHODS: A full-term female neonate presented with projectile vomiting, fever, and hyperkinetic movements. Diagnostic workup revealed a giant dissecting and partially thrombosed aneurysm along the anterior cerebral artery. The neonate underwent successful endovascular coil embolization.
RESULTS: The intervention led to the cessation of symptoms, and the patient was discharged and followed with mild hypotonia as the only neurological deficit at 9 months.
CONCLUSIONS: This case highlights the rarity and complexity of diagnosing and treating giant dissected anterior cerebral artery aneurysms in neonates. It underscores the importance of considering intracranial aneurysms in differential diagnosis for neonates with relevant symptoms and suggests endovascular embolization as an effective treatment option.
摘要：
背景：颅内动脉瘤在儿童年龄组中很少见，尤其是新生儿。本文介绍了一个新的病例，新生儿解剖并破裂的巨大大脑前动脉瘤，重点是诊断和血管内治疗，并回顾文献。
方法：一名足月女性新生儿出现抛射性呕吐，发烧,和运动过度运动。诊断检查显示，沿着大脑前动脉有一个巨大的解剖和部分血栓形成的动脉瘤。新生儿接受了成功的血管内线圈栓塞。
结果：干预导致症状停止，患者出院，并在9个月时出现轻度张力减退是唯一的神经功能缺损。
结论：该病例突出了新生儿巨大解剖性大脑前动脉动脉瘤诊断和治疗的罕见性和复杂性。它强调了在具有相关症状的新生儿的鉴别诊断中考虑颅内动脉瘤的重要性，并建议血管内栓塞作为一种有效的治疗选择。
方法：一名足月女性新生儿出现抛射性呕吐，发烧,和运动过度运动。诊断检查显示，沿着大脑前动脉有一个巨大的解剖和部分血栓形成的动脉瘤。新生儿接受了成功的血管内线圈栓塞。
结果：干预导致症状停止，患者出院，并在9个月时出现轻度张力减退是唯一的神经功能缺损。
结论：该病例突出了新生儿巨大解剖性大脑前动脉动脉瘤诊断和治疗的罕见性和复杂性。它强调了在具有相关症状的新生儿的鉴别诊断中考虑颅内动脉瘤的重要性，并建议血管内栓塞作为一种有效的治疗选择。
