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<p>Ruptured intracranial aneurysms in infants are exceptionally rare, particularly saccular aneurysms of the anterior communicating artery (ACoM). We report a 9-month-old infant presenting with subarachnoid and intraventricular hemorrhage due to a ruptured complex ACoM aneurysm, along with two small right A2 saccular aneurysms. The child underwent successful balloon-assisted endovascular coiling, with clinically silent vasospasm and full neurological recovery. To our knowledge, this is the first reported case of a ruptured infantile saccular ACoM aneurysm treated with endovascular coiling resulting in a good functional outcome. This case supports the feasibility of endovascular treatment in selected pediatric aneurysm cases.</p>

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Endovascular management of a ruptured complex ACoM aneurysm in a 9-month-old infant: a rare case report and literature review

  • 期刊论文

  • 发表日期：

    2025年8月12日

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  • Vinayagamani Selvadasan,
  • Arunkumar Natarajan,
  • Arunkumar M J,
  • Uday S Limaye

摘要

Ruptured intracranial aneurysms in infants are exceptionally rare, particularly saccular aneurysms of the anterior communicating artery (ACoM). We report a 9-month-old infant presenting with subarachnoid and intraventricular hemorrhage due to a ruptured complex ACoM aneurysm, along with two small right A2 saccular aneurysms. The child underwent successful balloon-assisted endovascular coiling, with clinically silent vasospasm and full neurological recovery. To our knowledge, this is the first reported case of a ruptured infantile saccular ACoM aneurysm treated with endovascular coiling resulting in a good functional outcome. This case supports the feasibility of endovascular treatment in selected pediatric aneurysm cases.