caa a22 4500 463179153 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00381-006-0264-7 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0264-7 Hydro Coil embolization of a ruptured infectious aneurysm in a pediatric patient: case report and review of the literature [Elektronische Daten] [Christopher Eddleman, Dimitrios Nikas, Ali Shaibani, Pervez Khan, Arthur DiPatri Jr, Tadanori Tomita] Introduction: Intracranial infectious aneurysms in the pediatric population are rare. Although surgery has been the traditional treatment of ruptured pediatric infectious aneurysms, endovascular coil embolization has become an attractive alternative due to its low rate of morbidity and mortality. Case report: A 9-year-old boy with a significant medical history of aortic valve replacement, antibiotic-treated infective endocarditis, and multiple embolic cerebral infarcts presented with a high-grade intraventricular hemorrhage due to the rupture of a large infectious proximal posterior circulation aneurysm. Computed tomography and cerebral angiogram demonstrated a right crural/ambient cistern hematoma and an associated infectious aneurysm of the right proximal posterior cerebral artery. The ruptured infectious aneurysm was coil-embolized with hydrogel-coated platinum coils without sacrifice of the distal parent artery. The aneurysm was completely occluded, and the patient regained all neurological function. Conclusion: Ruptured infectious aneurysms in the pediatric population occur despite aggressive medical therapy. Patients with infective endocarditis and embolic infarcts should be followed closely due to the risk of major hemorrhagic events, including aneurysm rupture. Hybrid coil embolization of ruptured infectious aneurysms with preservation of the distal parent artery is exceedingly rare and effective in the management of ruptured infectious aneurysms in the pediatric population. Springer-Verlag, 2006 Cerebral aneurysm nationallicence Infectious aneurysm nationallicence Coil embolization nationallicence Hydro Coil nationallicence Infective endocarditis nationallicence Eddleman Christopher Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 676 N. St. Claire, Suite 2210, 60611, Chicago, IL, USA aut Nikas Dimitrios Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut Shaibani Ali Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 N. St. Claire, Suite 800, 60611, Chicago, IL, USA aut Khan Pervez Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut DiPatri Jr Arthur Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut Tomita Tadanori Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut Child's Nervous System Springer-Verlag 23/6(2007-06-01), 707-712 0256-7040 23:6<707 2007 23 381 https://doi.org/10.1007/s00381-006-0264-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0264-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Eddleman Christopher Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 676 N. St. Claire, Suite 2210, 60611, Chicago, IL, USA aut NATIONALLICENCE 700 1- Nikas Dimitrios Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut NATIONALLICENCE 700 1- Shaibani Ali Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 N. St. Claire, Suite 800, 60611, Chicago, IL, USA aut NATIONALLICENCE 700 1- Khan Pervez Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut NATIONALLICENCE 700 1- DiPatri Jr Arthur Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut NATIONALLICENCE 700 1- Tomita Tadanori Division of Neurosurgery, Children's Memorial Hospital, Chicago, IL, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/6(2007-06-01), 707-712 0256-7040 23:6<707 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer