caa a22 4500 46317934X CHVBK 20180406164834.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00381-006-0263-8 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0263-8 Ruptured pediatric posterior cerebral artery aneurysm 9years after the onset of Kawasaki disease: a case report [Elektronische Daten] [Satoshi Tanaka, Takao Sagiuchi, Ikuo Kobayashi] Case report: A 12-year-old boy who had a history of Kawasaki disease 9years ago experienced a subarachnoid hemorrhage by ruptured right posterior cerebral artery aneurysm. On day1 operation, as the aneurysm was very fragile and bled easily, two intraoperative ruptures, including a very premature rupture, were encountered. As a result, a left hemiparesis especially severe in the left hand was caused by the right anterior thalamic infarction due to the occlusion of a thalamo-perforating artery arising near the neck of the aneurysm. Discussion: The histopathological examination of the intraoperative excised aneurysmal dome disclosed the thickening of the endothelial inner due to the endothelial hypertrophy and the invasion of inflammatory cells. This finding of the aneurysm was partially mimicking the finding of the coronary artery of the patients with Kawasaki disease. The combination of cerebral aneurysm and Kawasaki disease has never been reported until now, and the etiology of the aneurysm of this patient is unclear. Springer-Verlag, 2006 Pediatric cerebral aneurysm nationallicence Posterior cerebral artery nationallicence Kawasaki disease nationallicence Tanaka Satoshi Department of Neurosurgery, Kawasaki Hospital, 2040 Kisaki-nicho, 313-8511, Hitachiohta, Ibaraki, Japan aut Sagiuchi Takao Department of Neurosurgery, The Kitasato Institute Medical Center Hospital, 364 8501, Kitamoto, Japan aut Kobayashi Ikuo Department of Neurosurgery, The Kitasato Institute Medical Center Hospital, 364 8501, Kitamoto, Japan aut Child's Nervous System Springer-Verlag 23/6(2007-06-01), 701-706 0256-7040 23:6<701 2007 23 381 https://doi.org/10.1007/s00381-006-0263-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0263-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tanaka Satoshi Department of Neurosurgery, Kawasaki Hospital, 2040 Kisaki-nicho, 313-8511, Hitachiohta, Ibaraki, Japan aut NATIONALLICENCE 700 1- Sagiuchi Takao Department of Neurosurgery, The Kitasato Institute Medical Center Hospital, 364 8501, Kitamoto, Japan aut NATIONALLICENCE 700 1- Kobayashi Ikuo Department of Neurosurgery, The Kitasato Institute Medical Center Hospital, 364 8501, Kitamoto, Japan aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/6(2007-06-01), 701-706 0256-7040 23:6<701 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer