Traumatic Intracranial Aneurysm (TICA) following Closed Head Injury in Children : A Case Report - Abstract
We report a case of traumatic intracranial aneurysm (TICA) in a 9-year-old boy who sustained a closed traumatic head injury and presented with signs and symptoms of intracranial hemorrhage complicated with high intracranial pressure (ICP) associated with hydrocephalus after 11 days of motor vehicle acccident (MVA). TICA is a very rare form of intracranial aneurysm and only represent for less than 1% of all intracranial aneurysm. Children and adolescents account for 30% of the reported incidence of TICA: in which 44% were diagnosed in the first decade of life, and 56% in the second decade. Despite the advancement of imaging techniques, diagnosis of TICA still requires a high index of suspicion and continued vigilance, particularly in traumatic head injury children with worsening neurologic deterioration, or those who fails to improve neurologically as expected following treatment. TICA in children may present early or late. Majority of the cases will presented early with intracranial hemorrhage, while late presentation occurs infrequently as an aneurysmal mass. Outcome of TICA among children is determined by the extent of traumatic injury and the preoperative clinical status of the children which directly determined by the diagnosis of the aneurysm prior to either initial or repeated hemorrhage.