Near-Fatal Acute Giant Intracranial Aneurysm Rerupture In 7-Month-Old Infant

Victor M. Lu; Megan C. Kaszuba; Meghan E. Murphy; Giuseppe Lanzino; David J. Daniels

doi:10.1016/j.wneu.2019.05.041

Near-Fatal Acute Giant Intracranial Aneurysm Rerupture In 7-Month-Old Infant

Victor M. Lu, Megan C. Kaszuba, Meghan E. Murphy, Giuseppe Lanzino, David J. Daniels

Neurosurgery

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

1 Scopus citations

Abstract

Background: Aneurysm rerupture and bilateral fixed and dilated pupils (bFDPs) typically have a poor prognosis across all age groups. The synchronous occurrence of both features in the infantile demographic has not been previously reported. Case Description: We describe the near-fatal clinical course of a 7-month-old infant who experienced an acute giant aneurysm rerupture with signs of bFDPs. The patient was rapidly managed with neurosurgical intervention and has achieved a favorable outcome 1 year later. Conclusions: This case highlights that survival of infants who present with intracranial aneurysmal rerupture and bFDPs is amenable to rapid neurosurgical intervention and should be remembered in clinical practice.

Original language	English (US)
Pages (from-to)	191-195
Number of pages	5
Journal	World neurosurgery
Volume	128
DOIs	https://doi.org/10.1016/j.wneu.2019.05.041
State	Published - Aug 1 2019

Keywords

Fixed and dilated pupils
Giant aneurysm
Infant
Rebleed
Rerupture
Subarachnoid hemorrhage

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.wneu.2019.05.041

Cite this

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title = "Near-Fatal Acute Giant Intracranial Aneurysm Rerupture In 7-Month-Old Infant",

abstract = "Background: Aneurysm rerupture and bilateral fixed and dilated pupils (bFDPs) typically have a poor prognosis across all age groups. The synchronous occurrence of both features in the infantile demographic has not been previously reported. Case Description: We describe the near-fatal clinical course of a 7-month-old infant who experienced an acute giant aneurysm rerupture with signs of bFDPs. The patient was rapidly managed with neurosurgical intervention and has achieved a favorable outcome 1 year later. Conclusions: This case highlights that survival of infants who present with intracranial aneurysmal rerupture and bFDPs is amenable to rapid neurosurgical intervention and should be remembered in clinical practice.",

keywords = "Fixed and dilated pupils, Giant aneurysm, Infant, Rebleed, Rerupture, Subarachnoid hemorrhage",

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T1 - Near-Fatal Acute Giant Intracranial Aneurysm Rerupture In 7-Month-Old Infant

AU - Lu, Victor M.

AU - Kaszuba, Megan C.

AU - Murphy, Meghan E.

AU - Lanzino, Giuseppe

AU - Daniels, David J.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background: Aneurysm rerupture and bilateral fixed and dilated pupils (bFDPs) typically have a poor prognosis across all age groups. The synchronous occurrence of both features in the infantile demographic has not been previously reported. Case Description: We describe the near-fatal clinical course of a 7-month-old infant who experienced an acute giant aneurysm rerupture with signs of bFDPs. The patient was rapidly managed with neurosurgical intervention and has achieved a favorable outcome 1 year later. Conclusions: This case highlights that survival of infants who present with intracranial aneurysmal rerupture and bFDPs is amenable to rapid neurosurgical intervention and should be remembered in clinical practice.

AB - Background: Aneurysm rerupture and bilateral fixed and dilated pupils (bFDPs) typically have a poor prognosis across all age groups. The synchronous occurrence of both features in the infantile demographic has not been previously reported. Case Description: We describe the near-fatal clinical course of a 7-month-old infant who experienced an acute giant aneurysm rerupture with signs of bFDPs. The patient was rapidly managed with neurosurgical intervention and has achieved a favorable outcome 1 year later. Conclusions: This case highlights that survival of infants who present with intracranial aneurysmal rerupture and bFDPs is amenable to rapid neurosurgical intervention and should be remembered in clinical practice.

KW - Fixed and dilated pupils

KW - Giant aneurysm

KW - Infant

KW - Rebleed

KW - Rerupture

KW - Subarachnoid hemorrhage

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Near-Fatal Acute Giant Intracranial Aneurysm Rerupture In 7-Month-Old Infant

Abstract

Keywords

ASJC Scopus subject areas

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