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J Neurosurg Pediatr · Jan 2008
Case ReportsMultiple ruptured cerebral aneurysms in a child with Takayasu arteritis.
- Suresh N Magge, H Isaac Chen, Michael F Stiefel, Linda Ernst, Ann Marie Cahill, Robert Hurst, and Phillip B Storm.
- Department of Neurosurgery, Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. magges@uphs.upenn.edu
- J Neurosurg Pediatr. 2008 Jan 1;1(1):83-7.
AbstractThe authors report the case of an 18-month-old girl who presented with a ruptured anterior communicating artery aneurysm, and who was later diagnosed with Takayasu arteritis. Her initial aneurysm was successfully treated with clip application. However, over a 6-month period she had multiple ruptures from new and rapidly recurring aneurysms adjacent to the clips. These aneurysms were treated with repeated craniotomy and clip application and then with endovascular coil placement. Aneurysmal subarachnoid hemorrhage is a rare presentation of Takayasu arteritis. To the authors' knowledge, this is the youngest reported patient with Takayasu arteritis to present with a ruptured cerebral aneurysm.
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