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Surgery
Microsurgical excision of a ruptured distal lenticulostriate aneurysm in a child
  1. Ali Kheyreddin,
  2. Denis Semenov and
  3. Arevik Abramyan
  1. Vascular Neurosurgery, FSAI N N Burdenko National Medical Research Center for Neurosurgery of the Ministry of Health of the Russian Federation, Moskva, Russian Federation
  1. Correspondence to Dr Denis Semenov; semenovdenismed{at}gmail.com

Abstract

Distal lenticulostriate artery aneurysms are rare but potentially fatal conditions, especially in children. Endovascular management is often considered the first-line treatment, but microsurgical excision may be necessary in certain cases. This article presents a case report of a child with a ruptured distal lenticulostriate artery aneurysm that required careful decision making and preparation before microsurgical excision. MR angiography was performed in the planning phase and neuronavigation was used during surgery. The surgery was a success, with the patient suffering minimal postoperative focal deficit, which later turned out to be transient.

  • Neurosurgery
  • Stroke

https://doi.org/10.1136/bcr-2023-256627

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: DS and AA. The following author gave final approval of the manuscript: AK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.