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Journal of Child Neurology
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Rupture of Intracranial Arterial Aneurysms in Neonates: Case Report and Review of the Literature

C. Vizcaíno-Díaz, MD

Neonatology Unit, Pediatric Service, HGU Elche, Spain, carolvd{at}yahoo.com

H. Sánchez-Zaplana, MD

Neonatology Unit, Pediatric Service, Alicante, Spain

J. Carneado Ruiz, MD

Neurology Service HGU, Alicante, Spain

B. Jiménez-Cobo, MD

Neonatology Unit, Pediatric Service, Alicante, Spain

The rupture of cerebral arterial aneurysm is an extremely rare cause of intracranial hemorrhage in infants. Brain magnetic resonance imaging is an excellent technique commonly used to suggest the diagnosis. In this article, we propose color flow Doppler ultrasound as a useful, simple, inexpensive, noninvasive, and accessible option for confirming the lesion.We report one case of cerebral aneurysm in a neonate admitted to our unit. Furthermore, we performed a thorough review of the literature on cerebral aneurysm that led us to the observation that the vast majority of untreated patients suffered a second bleeding that caused death. Thus, we insist on the benefits of a timely treatment.

Key Words: cerebral aneurysm • intracranial aneurysm • neonate • transcranial Doppler ultrasonography

Journal of Child Neurology, Vol. 24, No. 2, 208-214 (2009)
DOI: 10.1177/0883073808322327
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