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- Victor M Lu, Megan C Kaszuba, Meghan E Murphy, Giuseppe Lanzino, and David J Daniels.
- Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
- World Neurosurg. 2019 Aug 1; 128: 191-195.
BackgroundAneurysm 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 DescriptionWe 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.ConclusionsThis 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.Copyright © 2019 Elsevier Inc. All rights reserved.
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