Spontaneous dissecting distal lenticulostriate artery aneurysm in children
9th International Conference on Neonatology and Pediatric Neurology
November 28-30, 2016 Valencia, Spain

Leesien Yap

Royal Victoria Infirmary, UK

Posters & Accepted Abstracts: J Neonatal Biol

Abstract:

Aneurysms involving the lenticulostriate artery (LSA) are rare with only few cases reported in children. The authors describe 2 pediatric cases of distal LSA aneurysm in previously healthy children- an 8-year-old girl and a 9-year�??old boy, both of whom presented with basal ganglia infarction complicated later with hemorrhage and hydrocephalus requiring external ventricular drain insertion. History and imaging identified dissection as the most likely aetiology. In both cases, conservative management with radiological observation was thought prudent. Follow up imaging at 12-15 weeks demonstrated almost complete resolution of the aneurysm in both cases. The natural history of intracranial arterial dissection remains unclear. There is no consensus on the optimal management; anticoagulation and antiplatelet treatment is contentious. Haemorrhage and death are reported after treatment of intracranial dissection with these agents, which should therefore be used with extreme caution. Both surgical and endovascular treatment have been used to treat LSA aneurysms with satisfactory results but not without potential risks. Treatment decisions are generally dependent on the presentation and location of the dissecting aneurysm as well as individual experience. Conservative treatment with careful clinico-radiological monitoring may be a feasible therapeutic strategy when considering the likely risk and benefits to the patient. The clinico-radiological features, aetiology and complex management of such cases are discussed.

Biography :

Email: Leesien.Yap@nuth.nhs.uk