{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T04:12:03Z","timestamp":1680322323668},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nCerebral aneurysms are not common among children and most of them are presented with subarachnoid hemorrhage or mass effect. Here, we describe a rare case of a pediatric giant aneurysm presented with cerebral infarction.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 38-month-old boy visited the emergency room due to left hemiparesis and left central type facial palsy. Initial magnetic resonance imaging showed acute cerebral infarction on the right basal ganglia and coronal radiata. Furthermore, a thrombosed aneurysm with a diameter of 30.57 mm at the frontal branch of the right middle cerebral artery was observed. A right pterional craniotomy with Sylvian dissection was performed. Superior and inferior divisions of the frontal branch originating from the aneurysm were identified. The superior division was cutoff from an aneurysm and clipping saving the inferior division was done. Subsequently, end-to-end anastomosis was done between a parietal branch of the superficial temporal artery and a superior division from the aneurysm. No acute complication from the operation was observed. Motor power of the left upper extremity recovered after rehabilitation, while fine motor impairment remained 6 months after the surgery.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThis case illustrates successful treatment of a pediatric giant aneurysm with extremely rare presentation of cerebral infarction, under a meticulous surgical plan and ad hoc<\/jats:italic> modification.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_149_2023","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T06:28:02Z","timestamp":1680244082000},"page":"115","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A child who presented with cerebral infarction: Clipping combined with bypass surgery of a thrombosed giant aneurysm"],"prefix":"10.25259","volume":"14","author":[{"given":"Sejin","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyunghyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Children\u2019s Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kang Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Won-Sang","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun-Seung","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Eun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"10.25259\/SNI_149_2023\/ref-1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/2006-8808.100357","article-title":"Direct, high-flow bypass for a pediatric giant, fusiform aneurysm of the inferior division of M2: Case report and review of literature","volume":"4","author":"Alamanda","year":"2012","journal-title":"J Surg Tech Case Rep"},{"key":"10.25259\/SNI_149_2023\/ref-2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.wneu.2015.11.023","article-title":"Human immunodeficiency virus-associated cerebral aneurysmal vasculopathy: A systematic review","volume":"87","author":"Baeesa","year":"2016","journal-title":"World Neurosurgery"},{"key":"10.25259\/SNI_149_2023\/ref-3","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.nec.2010.03.005","article-title":"Pediatric intracranial aneurysms","volume":"21","author":"Jian","year":"2010","journal-title":"Neurosurg Clin N Am"},{"key":"10.25259\/SNI_149_2023\/ref-4","doi-asserted-by":"crossref","first-page":"641","DOI":"10.3171\/2014.3.PEDS13444","article-title":"Revascularization and pediatric aneurysm surgery","volume":"13","author":"Kalani","year":"2014","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_149_2023\/ref-5","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s00381-011-1602-y","article-title":"Three-year-old patient with giant MCA aneurysm treated by trapping-resection plus STA-MCA bypass. 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