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KMID : 0359819960250010188
Journal of Korean Neurosurgical Society
1996 Volume.25 No. 1 p.188 ~ p.191
Traumatic Aneurysm in an Infant
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Abstract
We report a case of traumatic aneurysm in a 50-day old male infant arising from the peripheral portion of right middle cerebral artery. The infant had suffered a major head injury with an iron bar before coming to the hospital. On admission he
presented
with generalized tonic-clonic seizure 15 days after the head trauma. Computed tomographyc (CT) scan demonstrated a round. mixed-density hematoma in the right temporoparietal cortex. During operation an aneurysm was found within the hematoma under
the
operating microscope. and the aneurysm was assumed to be of traumatic origin. The aneurysm arising from the peripheral right middle cerebral artery was ligated and cauterized. and the hematoma was evacuated.
After the operation the intant had no incidence of any seizure attack nor any focal neurologic deficit. The incidence. pathogenesis. clinical diagnosis. and treatment of traumatic aneurysm is discussed together with a review of the literature.
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