Intracranial arterial aneurysm in a three-month-old infant. Case report.
Intracranial arterial aneurysm in a three-month-old infant. Case report.
复制标题
三个月大婴儿颅内动脉瘤。
DOI：
10.3171/jns.1969.30.2.0169
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发表时间：
1969
影响因子：
4.1
通讯作者：
G. af Björkesten
中科院分区：
文献类型：
--
作者：
P. M. Vapalahti;P. Schugk;L. Tarkkanen;G. af Björkesten
原发性蛛网膜下腔出血在儿童时期并不常见，由动脉瘤引起的出血更是罕见。McDonald和Korb从1938年以前的文献中收集了1125例颅内动脉瘤，其中30例患儿（1.5%），其中13例为真菌性动脉瘤，17例为真囊性动脉瘤。在后来发表的来自不同神经外科中心的系列文章中，儿童的比例约为1%。在该医院，经血管造影证实的688例动脉瘤患者中，Laitinen 6（1962）发现9例15岁以下儿童（1.3%）。Pakarinen于1967年在赫尔辛基市对554例原发性蛛网膜下腔出血患者进行了11项未选研究，其中363例患者有动脉瘤，但只有2例患者年龄在10岁以下。1965年，Matson 8发表了一系列关于13名12年间患有动脉瘤的儿童的研究，其中大多数都成功地进行了手术。在早期的报告中，只有少数儿童在2岁以下，而且在大多数情况下，诊断是在死后做出的。McDonald和Korb系列中最小的患者只有18个月大。报道过的最年轻的动脉瘤患者是一名男孩（Newcomb and Munns 1），他死于后交通动脉动脉瘤破裂，享年64小时。Forster和Alpers报道了一个婴儿的病例，该婴儿死于13周的肾脏多囊性疾病，并且在基底动脉上有一个小的，未破裂的动脉瘤。J~inisch 3报道了一个8周大的婴儿，其动脉瘤被证明是真菌性的。Lemmen和SchneideV报告了一个8个月大的婴儿颅内脑室动脉瘤。普尔和波茨发表了一份关于11个月大婴儿的报告，简发表了一份关于12个月大男孩的报告
pRIMARY subarachnoid hemorrhage does not often occur in childhood, and an arterial aneurysm as its cause is even more rare. In their series of 1125 intracranial aneurysms compiled from the literature before 1938, McDonald and Korb 9 found 30 children (1.5%), 13 of whom had a mycotic and 17 a true saccular aneurysm. In later published series from different neurosurgical centers the percentage of children has been around 1%. At this hospital, among 688 patients with angiographically verified arterial aneurysms, Laitinen 6 (1962) found nine children (1.3%) under 15 years of age. In Pakarinen's 11 unselected series of 554 patients with primary subarachnoid hemorrhage from the city of Helsinki (1967) 363 had arterial aneurysms but only two were under 10 years. In 1965 Matson 8 published a series comprising 13 children with arterial aneurysms over a 12-year-period, most of whom were successfully operated on. Only a few children from the earlier reports were under 2 years of age, and in most cases the diagnosis was made postmortem. The youngest patient in the series of McDonald and Korb was 18 months. The youngest aneurysm patient ever reported was a boy (Newcomb and Munns 1~ who died at the age of 64 hours from a rupture of an arterial aneurysm on the posterior communicating artery. Forster and Alpers ~ reported the case of an infant who died at 13 weeks from a polycystic disease of the kidneys, and who in addition, had a small, unruptured, arterial aneurysm on the basilar artery. J~inisch 3 reported an 8-week-old infant whose aneurysm proved to be mycotic. Lemmen and SchneideV reported an 8-month-old infant with an intracranial intraventricular aneurysm. Pool and Potts 12 published a report on an 11-month-old infant, and Jane 2 on a 12-month-old boy, the