A ruptured middle cerebral artery aneurysm in a 13-month-old boy with Kawasaki disease Case report

作者：Ahn Jun Hyong; Phi Ji Hoon; Kang Hyun Seung; Wang Kyu Chang; Cho Byung Kyu; Lee Ji Yeoun; Kim Gi Beom; Kim Seung Ki^*

来源：Journal of Neurosurgery-Pediatrics, 2010, 6(2): 150-153.

DOI：10.3171/2010.5.PEDS1012

• cerebral aneurysm
• Kawasaki disease
• middle cerebral artery

This 13-month-old boy, in whom Kawasaki disease had been diagnosed at the age of 6 months, presented with subarachnoid hemorrhage caused by the rupture of a middle cerebral artery aneurysm. The authors performed an emergency craniectomy and clip occlusion of the aneurysm, which was found to be partially thrombosed. The patient was discharged 4 weeks postoperatively without apparent neurological deficit.
Intracranial saccular aneurysms in the pediatric population are rare, and are occasionally associated with various systemic disorders. Kawasaki disease is a systemic vasculopathy of unknown origin, but cerebral arteries are usually spared from the disease process. This is the second case report of a ruptured cerebral aneurysm in a patient with Kawasaki disease, providing a novel clinical feature that the authors call Kawasaki syndrome. (DOI: 10.3171/2010.5.PEDS1012)

• 出版日期2010-8