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June 1980

Ruptured Intracranial Arterial Aneurysm in the First Year of LifeA Case Report

Author Affiliations

From the Department of Pediatrics B, The Chaim Sheba Medical Center, Tel-Hashomer; and the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Arch Neurol. 1980;37(6):392-393. doi:10.1001/archneur.1980.00500550094021

Ruptured intracranial aneurysms arise on or near the circle of Willis. Peripheral aneurysms are much less common and are often related to trauma or infection. We present the case of a 7-month-old male infant with subarachnoid hemorrhage. Angiography disclosed a large aneurysm arising distally from the left middle cerebral artery. The infant was operated on successfully and his condition is normal.

REPORT OF A CASE  A 7-month-old male infant was delivered at term. The delivery and development were normal. On the day of admission, the infant vomited and 12 hours later was in coma.The anterior fontanelle was not bulging, and the optic fundi were normal. There were no posturing or lateralizing signs. The heart was of normal size and there were no murmurs. All peripheral pulses were palpable. Lumbar puncture revealed CSF that was bloody on gross examination, xanthochromic supernatant fluid, and an opening pressure of 400 mm H

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