TRAUMATIC ANEURYSM FROM SHAKEN BABY SYNDROME - CASE-REPORT

OBJECTIVE AND IMPORTANCE: We present a 6-week-old infant who developed a traumatic aneurysm from clearly documented shaken baby syndrome. De spite the theoretical similarity in the mechanism of such injuries, th is is the first aneurysm reported that resulted from such a cause. The infant is also the youngest reported patient to have suffered from a traumatic aneurysm. CLINICAL PRESENTATION: Police records documented s haking of the child as well as direct impact on the child's head. Thre e weeks later, the patient developed an intracerebral hemorrhage, whic h was revealed by angiography to have resulted from a pericallosal art ery aneurysm. TECHNIQUE: The aneurysm was totally resected through a p orencephalic cyst, which had developed secondary to ischemic injury to the brain. CONCLUSION: The temporal course, as well as the location o f this traumatic aneurysm, is similar to that in older patients.