Spontaneous Dissecting Lenticulostriate Artery Aneurysm in Children: Radiologic Findings and Clinical Management

J Child Neurol. 2015 Jul;30(8):1060-4. doi: 10.1177/0883073814541477. Epub 2014 Jul 29.

Abstract

Aneurysms involving the lenticulostriate artery (LSA) are rare. The majority of LSA aneurysms reported are idiopathic. We present 2 paediatric cases of dissecting distal LSA aneurysm. An 8-year-old girl and 9-year-old boy presented with basal ganglia infarction. History and imaging identified dissection as the most likely aetiology. The clinico-radiological features, aetiology and management involving are discussed. Conservative treatment with careful clinico-radiological monitoring may be a feasible therapeutic strategy.

Keywords: aneurysm; dissection; lenticulostriate artery.

Publication types

  • Case Reports

MeSH terms

  • Basal Ganglia Cerebrovascular Disease* / complications
  • Basal Ganglia Cerebrovascular Disease* / diagnosis
  • Basal Ganglia Cerebrovascular Disease* / therapy
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Intracranial Aneurysm* / complications
  • Intracranial Aneurysm* / diagnosis
  • Intracranial Aneurysm* / therapy
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed