Aneurisma intracraniano gigante em criança de nove anos: relato de caso

Araújo, João Flávio Mattos; Santori, Rinaldo Koester; Sperlescu, Alexander; Marins, José Luis Cury; Balbo, Roque José

doi:10.1590/S0004-282X1996000400020

Resumos

É relatado o caso de menina de 9 anos de idade com quadro de hemorragia intracraniana devido a aneurisma gigante da porção distai da artéria cerebral média. Aneurismas cerebrais são considerados raros em crianças, principalmente na primeira década de vida. Em crianças, eles tendem a ocorrer principalmente em ramos arteriais periféricos e são frequentemente gigantes. São discutidos os achados clínicos e a patogênese dessa lesão.

aneurisma gigante; crianças; hemorragia subaracnóide

The case of a 9-year-old girl with intracranianal hemorrhage due to a giant aneurysm of distal middle cerebral artery is reported. Cerebral aneurysms are rare in children, particularly in the first decade of life. Aneurysms in childhood occur more frequently in peripheral branches and they are more often giant in size. Clinical features and pathogenesis of this lesion are discussed.

giant aneurysm; childhood; subarachnoid hemorrhage

Aneurisma intracraniano gigante em criança de nove anos: relato de caso

Giant intracranial aneurysm in a nine-year-old child: case report

João Flávio Mattos Araújo^I; Rinaldo Koester Santori^I; Alexander Sperlescu^I; José Luis Cury Marins^II; Roque José Balbo^I

^IDepartamento de Neuro-Psiquiatria da Faculdade de Ciências Médicas da Pontifícia Universidade Católica de Campinas e Departamentos de Neurocirurgia e Radiologia do Hospital Vera Cruz, Campinas: Departamento de Neurocirurgia

^IIDepartamento de Neuro-Psiquiatria da Faculdade de Ciências Médicas da Pontifícia Universidade Católica de Campinas e Departamentos de Neurocirurgia e Radiologia do Hospital Vera Cruz, Campinas: Departamento de Radiologia

RESUMO

É relatado o caso de menina de 9 anos de idade com quadro de hemorragia intracraniana devido a aneurisma gigante da porção distai da artéria cerebral média. Aneurismas cerebrais são considerados raros em crianças, principalmente na primeira década de vida. Em crianças, eles tendem a ocorrer principalmente em ramos arteriais periféricos e são frequentemente gigantes. São discutidos os achados clínicos e a patogênese dessa lesão.

Palavras chave: aneurisma gigante; crianças; hemorragia subaracnóide

ABSTRACT

The case of a 9-year-old girl with intracranianal hemorrhage due to a giant aneurysm of distal middle cerebral artery is reported. Cerebral aneurysms are rare in children, particularly in the first decade of life. Aneurysms in childhood occur more frequently in peripheral branches and they are more often giant in size. Clinical features and pathogenesis of this lesion are discussed.

Key words: giant aneurysm, childhood, subarachnoid hemorrhage.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 30-julho-1996.

Dr. João Flávio de Mattos Araújo - Departamento de Neurocirurgia, Hospital Vera Cruz - Avenida Andrade Neves 402 - 13013-9000 Campinas SP - Brasil.

1. Gibo H, Carver CC, Rhoton AL, Lenkey C, Mitcel DJ. Microsurgical anatomy of the middle cerebral artery. J Neurosurg 1981;54:151-169.
2. Gobin PY, Vinuela F, Gurian JH, Guglielmi G, Duckuiler GR, Massoid TF, Martin N A. Treatment of large and giant fusiform intracranial aneurysm with Guglielmi detachable coils. J Neusurg 1996;84:55-61.
3. Graber D, Flurin-Collet V, Chaix Y, Bonafe A, Manelfe C, Carrière JP. Dissection de l'artére sylvienne avec anévrysme séquellaire chez une enfant de 6 ans. Arch Fr Pediatr 1992;49:445-448.
4. Herman JM, Rekate HC, Spetzler RF. Cerebrovascular disease Ed. Mc Graw Hill; 1994:211-229.
5. Hourhian MD, Gates PC, McAllister VL. Subarachnoid hemorrage in childhood and adolescense. J Neurosurg 1984;60:1163-1166.
6. Humpreys RP, Cheek WR, Marlin AE, Reigel DH, Walker ML. Peditric neurosurgery. Ed3. Philadelphia: Saunders, 1994:524-532
7. Kase CS, Caplan LR. Intracerebral hemorrhage. Boston: Buttterworth-Heinemann, 1994:153-178.
8. Menkes JH. Textbook of child Neurology .Ed4; Philadelphia: Lea & Febiger; 1990;583-601.
9. Meyer FB, Sundt TM, Fode NC, Morgan MK, Forbes GS, Meilinger JF. Cerebral aneurysms in childhood and adolescence. J Neurosurg 1989;70:420-425.
10. Morelli RJ, Laubscher F. Intracranial aneurysm in infancy: case report. J Neurosurg 1977;46:832-834.
11. Ostergaard JR, Voldby BO. Intracranial arterial aneurysms in children and adolescents. J Neurosurg 1983;58:832-837.
12. Salomão JF, Leibinger RD, Lima YMS, Cunha CA, Shinzato IG, Dantas PTL. Aneursima da porção distal da artéria cerebelar posterior e inferior em criança. Arq Neuropsiquiatr 1992;50:229-233.
13. Säveland H, Hillman J, Brandt L, Edner G, Jakobsson KE, Algers G. Overall outcome in aneurysmal subarachnoid hemorrhage. J Neurosurg 1992;76:729-734.
14. Swamy NKS, Pope FM, Coaklam HB. Giant aneurysm of internal carotid artery in a four-year-old child: a case report. Surg Neurol 1993;40:138-141.
15. Wolin MJ, Saunders RA. Aneurysmal oculomotor nerve palsy in an 11 -year-old-boy. J ClinNeuro-ophthalmol 1992;12:178-180.
16. Yasargil MG. Microneurosurgery Vol 1. Stuttgart: Geog Thieme Verlag, 1984:321-324.
17. Yasargil MG. Microneurosurgery Vol 2. Stuttgart: Georg Thieme Verlag, 1984:296-304.
18. Yazbak PA, McComb JG, Raffel C. Pediatric traumatic intracranial aneurysms. Pediatr Neurosurg 1995;22:15-19.
19. Zubkov YN, Smith RR. Schmideck HH, Sweet WH; Operative neurosurgical technichs. Ed3. Philadelphia: Saunders 1995:1041-1053.

Datas de Publicação

Publicação nesta coleção
12 Nov 2010
Data do Fascículo
Dez 1996

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Gibo H, Carver CC, Rhoton AL, Lenkey C, Mitcel DJ. Microsurgical anatomy of the middle cerebral artery. J Neurosurg 1981;54:151-169.

[2] 2. Gobin PY, Vinuela F, Gurian JH, Guglielmi G, Duckuiler GR, Massoid TF, Martin N A. Treatment of large and giant fusiform intracranial aneurysm with Guglielmi detachable coils. J Neusurg 1996;84:55-61.

[3] 3. Graber D, Flurin-Collet V, Chaix Y, Bonafe A, Manelfe C, Carrière JP. Dissection de l'artére sylvienne avec anévrysme séquellaire chez une enfant de 6 ans. Arch Fr Pediatr 1992;49:445-448.

[4] 4. Herman JM, Rekate HC, Spetzler RF. Cerebrovascular disease Ed. Mc Graw Hill; 1994:211-229.

[5] 5. Hourhian MD, Gates PC, McAllister VL. Subarachnoid hemorrage in childhood and adolescense. J Neurosurg 1984;60:1163-1166.

[6] 6. Humpreys RP, Cheek WR, Marlin AE, Reigel DH, Walker ML. Peditric neurosurgery. Ed3. Philadelphia: Saunders, 1994:524-532

[7] 7. Kase CS, Caplan LR. Intracerebral hemorrhage. Boston: Buttterworth-Heinemann, 1994:153-178.

[8] 8. Menkes JH. Textbook of child Neurology .Ed4; Philadelphia: Lea & Febiger; 1990;583-601.

[9] 9. Meyer FB, Sundt TM, Fode NC, Morgan MK, Forbes GS, Meilinger JF. Cerebral aneurysms in childhood and adolescence. J Neurosurg 1989;70:420-425.

[10] 10. Morelli RJ, Laubscher F. Intracranial aneurysm in infancy: case report. J Neurosurg 1977;46:832-834.

[11] 11. Ostergaard JR, Voldby BO. Intracranial arterial aneurysms in children and adolescents. J Neurosurg 1983;58:832-837.

[12] 12. Salomão JF, Leibinger RD, Lima YMS, Cunha CA, Shinzato IG, Dantas PTL. Aneursima da porção distal da artéria cerebelar posterior e inferior em criança. Arq Neuropsiquiatr 1992;50:229-233.

[13] 13. Säveland H, Hillman J, Brandt L, Edner G, Jakobsson KE, Algers G. Overall outcome in aneurysmal subarachnoid hemorrhage. J Neurosurg 1992;76:729-734.

[14] 14. Swamy NKS, Pope FM, Coaklam HB. Giant aneurysm of internal carotid artery in a four-year-old child: a case report. Surg Neurol 1993;40:138-141.

[15] 15. Wolin MJ, Saunders RA. Aneurysmal oculomotor nerve palsy in an 11 -year-old-boy. J ClinNeuro-ophthalmol 1992;12:178-180.

[16] 16. Yasargil MG. Microneurosurgery Vol 1. Stuttgart: Geog Thieme Verlag, 1984:321-324.

[17] 17. Yasargil MG. Microneurosurgery Vol 2. Stuttgart: Georg Thieme Verlag, 1984:296-304.

[18] 18. Yazbak PA, McComb JG, Raffel C. Pediatric traumatic intracranial aneurysms. Pediatr Neurosurg 1995;22:15-19.

[19] 19. Zubkov YN, Smith RR. Schmideck HH, Sweet WH; Operative neurosurgical technichs. Ed3. Philadelphia: Saunders 1995:1041-1053.