Infantile cerebral aneurysms with visual pathway compression

Intracranial aneurysms are rare in infancy. The common est presentation is intracranial hemorrhage, but signs of mass effect are more frequent than in adults. We report 2 infants with cerebral aneurysms, one presenting with m acrocephaly and another with strabismus. Both had visual loss and optic dis c pallor; MRI revealed a suprasellar mass and anterior visual pathway compr ession. In both cases, the preoperative diagnosis was craniopharyngioma, It is essential to recognize that, although exceedingly uncommon, cerebral an eurysms do occur in infants and have features that differ from those in adu lts. Copyright (C) 2000 S. Karger AG, Basel.