De novo cerebral pseudoaneurysm formation: a rare delayed complication of stereotactic electroencephalography in children.

CT angiogram Complication Electroencephalography Epilepsy Pseudoaneurysm

Journal

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227

Informations de publication

Date de publication:
19 Jan 2024
Historique:
received: 02 10 2023
accepted: 03 01 2024
medline: 19 1 2024
pubmed: 19 1 2024
entrez: 19 1 2024
Statut: aheadofprint

Résumé

To describe the rare complication of cerebral pseudoaneurysm formation following stereotactic electroencephalography (sEEG) lead implantation in children. A retrospective chart review of all pediatric patients undergoing sEEG procedures between 2015 and 2020 was performed. Cases of pseudoaneurysm were identified and reviewed. Cerebral pseudoaneurysms were identified in two of 58 total cases and 610 implanted electrodes. One lesion was detected 1 year after sEEG explantation and required craniotomy and clipping. The other was detected 3 months post-explantation and underwent coil embolization. Neither patient had any neurologic deficits associated with the pseudoaneurysm before or after treatment. Pseudoaneurysm formation post-sEEG explantation is rare and likely underreported. Routine, post-explantation/treatment imaging is warranted to detect this rare but potentially lethal complication.

Identifiants

pubmed: 38240787
doi: 10.1007/s00381-024-06278-y
pii: 10.1007/s00381-024-06278-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Manjari Daniel (M)

Department of Neurosurgery, University of California San Diego, San Diego, CA, USA.

Lauren E Stone (LE)

Department of Neurosurgery, University of California San Diego, San Diego, CA, USA.

Jillian H Plonsker (JH)

Department of Neurosurgery, University of California San Diego, San Diego, CA, USA.

Shifteh Sattar (S)

Division of Child Neurology, Rady Children's Hospital, San Diego, CA, USA.

Vijay Ravindra (V)

Department of Neurosurgery, University of California San Diego, San Diego, CA, USA.
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA.
Division of Pediatric Neurosurgery, Rady Children's Hospital, 7910 Frost Street, Suite 120, San Diego, CA, 92123, USA.

David Gonda (D)

Department of Neurosurgery, University of California San Diego, San Diego, CA, USA. dgonda@health.ucsd.edu.
Division of Pediatric Neurosurgery, Rady Children's Hospital, 7910 Frost Street, Suite 120, San Diego, CA, 92123, USA. dgonda@health.ucsd.edu.

Classifications MeSH