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Cerebral Hemiatrophy, Hypoplasia of Internal Carotid Artery, and Intracranial Aneurysm: A Rare Association Occurring in an Infant

Cerebral Hemiatrophy, Hypoplasia of Internal Carotid Artery, and Intracranial Aneurysm: A Rare... Abstract • A 4-month-old child with a very rare association of primary (congenital) left cerebral hypoplasia, hypoplasia of the left internal carotid artery, and giant anterior communicating artery aneurysm was seen. The aneurysm was detected and treated before rupture. We briefly reviewed the literature on agenesis (hypoplasia) of the internal carotid artery, intracranial aneurysms in childhood, and primary cerebral hypoplasia. It is proposed that cerebral arteriography, cranial computed tomography, or magnetic resonance imaging be performed in all children with primary cerebral hemihypoplasia to establish an etiologic diagnosis and, more importantly, to detect and treat possible associated intracranial aneurysms before they become symptomatic. References 1. Lie TA: Congenital malformations of the carotid and vertebral arterial systems, including the persistent anastomoses , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, Elsevier Science Publishing Co, 1972, vol 12, pt 2, pp 289-339. 2. Smith KR, Nelson JS, Dooley JM: Bilateral 'hypoplasia' of the internal carotid arteries . Neurology 1968;18:1149-1156.Crossref 3. Tharp B, Heyman A, Pfeiffer JB, et al: Cerebral ischemia: Result of hypoplasia of internal carotid artery . Arch Neurol 1965;12:160-164.Crossref 4. Austin JH, Stears JC: Familial hypoplasia of both internal carotid arteries . Arch Neurol 1971;24:1-10.Crossref 5. Priman J, Christie DH: A case of abnormal internal carotid artery and associated vascular anomalies . Anat Rec 1959;134:87-95.Crossref 6. Fisher CM: Early-life carotid-artery occlusion associated with late intracranial hemorrhage: Observations on the ischemic pathogenesis of mantle sclerosis . Lab Invest 1959;8:680-700. 7. Vuia O, Alexianu M, Gabor S: Hypoplasia and obstruction of the circle of Willis in a case of atypical cerebral hemorrhage and its relationship to Nishimoto's disease . Neurology 1970;20:361-367.Crossref 8. Calhoun CL: Cerebral infarction due to internal carotid artery hypoplasia precipitated by head injury . South Med J 1972;65:114-115.Crossref 9. Midler DG, Lance JW: Intermittent claudication of one cerebral hemisphere . Neurology 1984;34:692-694.Crossref 10. Hill J, Sament S: Bilateral agenesis of the internal carotid artery associated with cardiac and other anomalies: Case report . Neurology 1968;18:142-146.Crossref 11. Turnbull I: Agenesis of the internal carotid artery . Neurology 1962;12:588-590.Crossref 12. Smith RR, Kees CJ, Hogg ID: Agenesis of the internal carotid artery with an unusual primitive collateral: Case report . J Neurosurg 1972;37:460-462.Crossref 13. Teal JS, Rumbaugh CL, Bergeron RT, et al: Congenital absence of the internal carotid artery associated with cerebral hemiatrophy, absence of the external carotid artery . AJR 1973;18:534-545.Crossref 14. Shigemori M, Kojo N, Miyagi J, et al: Agenesis of the left internal carotid artery associated with an aneurysm of the anterior communicating artery . Neurol Med Chir 1980;20:73-79.Crossref 15. Bernini FP, Cioffi FA, Muras I, et al: Agenesis of the right internal carotid artery associated with an aneurysm of the anterior communicating artery: Case report . Acta Neurochir 1980;54:257-263.Crossref 16. Naito T, Mikami Y, Nobuoka J, et al: Agenesis of internal carotid artery associated with aneurysm of anterior communicating artery . Ho Shinkei Geka 1977;6:593-596. 17. Servo A: Agenesis of the left internal carotid artery associated with an aneurysm on the right carotid syphon: Case report . J Neurosurg 1977;46:677-680.Crossref 18. Tsuruta J, Miyazaki Y: A case of complete absence of the left internal carotid artery associated with an aneurysm of the anterior communicating artery . Ho Shinkei Geka 1977;5:895-900. 19. Tangchai P, Khaoborisut V: Agenesis of internal carotid artery associated with aneurysm of contralateral middle cerebral artery . Neurology 1970;20:809-812.Crossref 20. Moyes PD: Basilar aneurysms associated with agenesis of the left internal carotid artery: Case report . J Neurosurg 1969;30:608-611.Crossref 21. Lhermitte F, Gautier JC, Poirier J, et al: Hypoplasia of the internal carotid artery . Neurology 1968;18:439-446.Crossref 22. Lagarde C, Vigouroux R, Perrouty P: Agénésie terminale de la carotide interne anévrysme de la communicante anterieure . J Radiol 1957;38:939-941. 23. Lie TA: Congenital Anomalies of the Carotid Arteries . Princeton, NJ, Excerpta Medica, 1968, pp 35-51. 24. Hawkins TD, Scott WC: Bilateral rete carotidis in man . Clin Radiol 1967;18:163-165.Crossref 25. Rosen IW, Mills DF, Nadel HI, et al: Angiographic demonstration of congenital absence of both internal carotid arteries: Case report . J Neurosurg 1975;42:478-482.Crossref 26. Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: Section VII, Part I. Evaluation of the conservative management of intracranial aneurysms . J Neurosurg 1966;25:574-592.Crossref 27. Locksley HB: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: Sect V, pt I. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations: Based on 6368 cases in the cooperative study . J Neurosurg 1966;25:219-239.Crossref 28. Patel AN, Richardson AE: Ruptured intracranial aneurysms in the first two decades of life: A study of 58 patients . J Neurosurg 1971;35:571-576.Crossref 29. Devadiga KV, Mathai KV, Chandy J: Spontaneous cure of intracavernous aneurysm of the internal carotid artery in a 14-month-old child: Case report . J Neurosurg 1969;30:165-168.Crossref 30. Ferry PC, Kerber C, Peterson D, et al: Arteriectasis, subarachnoid hemorrhage in a 3month-old infant . Neurology 1974;24:494-500.Crossref 31. Orozco M, Trigueros F, Quintana F, et al: Intracranial aneurysms in early childhood . Surg Neurol 1978;9:247-252. 32. Lipper S, Morgan D, Krigman MR, et al: Congenital saccular aneurysm in a 19-day-old neonate: Case report and review of the literature . Surg Neurol 1978;10:161-165. 33. Keren G, Barzilay Z, Cohen BE: Ruptured intracranial arterial aneurysm in the first year of life: A case report . Arch Neurol 1980;37:392-393.Crossref 34. Kitano I, Fukui M, Kinoshita K: Infantile cerebral aneurysm . Surg Neurol 1981;16:386-390.Crossref 35. Heiskanen O, Vilkki J: Intracranial arterial aneurysms in children and adolescents . Acta Neurochir 1981;59:55-63.Crossref 36. Ostergaard JR, Voldby B: Intracranial arterial aneurysms in children and adolescents . J Neurosurg 1983;58:832-837.Crossref 37. Zee CS, Segall HD, McComb JG, et al: Intracranial arterial aneurysms in childhood: More recent considerations . J Child Neurol 1986;1:99-114.Crossref 38. Shucart WA, Wolpert SA: An aneurysm in infancy presenting with diabetes insipidus: Case report . J Neurosurg 1972;37:368-370.Crossref 39. Jones RK, Shearburn EW: Intracranial aneurysm in a 4-week-old infant: Diagnosis by angiography and successful operation . J Neurosurg 1961;18:122-124.Crossref 40. Bremer JL: Congenital aneurysms of the cerebral arteries: An embryologic study . Arch Pathol Lab Med 1943;35:819-831. 41. Garcia-Chavez C, Moossy J: Cerebral artery aneurysm in infancy: Association with agenesis of the corpus callosum . J Neuropathol Exp Neurol 1965;24:492-501.Crossref 42. Pool JL, Potts DG: Aneurysms and Arteriovenous Anomalies of the Brain: Diagnosis and Treatment . New York, Harper & Row Publishers Inc, 1965, p 57. 43. Forster FM, Alpers BJ: Aneurysm of circle of Willis associated with congenital polycystic disease of the kidneys . Arch Neurol Psychiatry 1943;50:669-676.Crossref 44. Jane JA: A large aneurysm of the posterior inferior cerebellar artery in a 1-year-old child . J Neurosurg 1961;18:245-247.Crossref 45. Tasker RR: Ruptured berry aneurysm of the anterior ethmoidal artery associated with bilateral spontaneous internal carotid artery occlusion in the neck: Case report . J Neurosurg 1983;59:687-691.Crossref 46. Alpers BJ, Dear RB: Hemiatrophy of the brain . J Nerv Ment Dis 1939;89:653-671. 47. Taveras JM, Wood EH: Diagnostic Neuroradiology . Baltimore, Williams & Wilkins, 1964, pp 1334-1340. 48. Hageman G, Gooskens RHJM, Willemse J: A cerebral cause of arthrogryposis: Unilateral cerebral hypoplasia . Clin Neurol Neurosurg 1985;87:119-122.Crossref 49. Vogel FS, McClenahan JL: Anomalies of major cerebral arteries associated with congenital malformations of the brain . Am J Pathol 1952;28:701-723. 50. Vogel FS: The association of vascular anomalies with anencephaly . Am J Pathol 1958;34:169-183. 51. Parker JC, Gaede JT: Occurrence of vascular anomalies in unilateral cerebral hypoplasia 'cerebral hemiatrophy.' Arch Pathol Lab Med 1970;90:265-270. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Cerebral Hemiatrophy, Hypoplasia of Internal Carotid Artery, and Intracranial Aneurysm: A Rare Association Occurring in an Infant

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References (58)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1987.00520140090024
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Abstract

Abstract • A 4-month-old child with a very rare association of primary (congenital) left cerebral hypoplasia, hypoplasia of the left internal carotid artery, and giant anterior communicating artery aneurysm was seen. The aneurysm was detected and treated before rupture. We briefly reviewed the literature on agenesis (hypoplasia) of the internal carotid artery, intracranial aneurysms in childhood, and primary cerebral hypoplasia. It is proposed that cerebral arteriography, cranial computed tomography, or magnetic resonance imaging be performed in all children with primary cerebral hemihypoplasia to establish an etiologic diagnosis and, more importantly, to detect and treat possible associated intracranial aneurysms before they become symptomatic. References 1. Lie TA: Congenital malformations of the carotid and vertebral arterial systems, including the persistent anastomoses , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, Elsevier Science Publishing Co, 1972, vol 12, pt 2, pp 289-339. 2. Smith KR, Nelson JS, Dooley JM: Bilateral 'hypoplasia' of the internal carotid arteries . Neurology 1968;18:1149-1156.Crossref 3. Tharp B, Heyman A, Pfeiffer JB, et al: Cerebral ischemia: Result of hypoplasia of internal carotid artery . Arch Neurol 1965;12:160-164.Crossref 4. Austin JH, Stears JC: Familial hypoplasia of both internal carotid arteries . Arch Neurol 1971;24:1-10.Crossref 5. Priman J, Christie DH: A case of abnormal internal carotid artery and associated vascular anomalies . Anat Rec 1959;134:87-95.Crossref 6. Fisher CM: Early-life carotid-artery occlusion associated with late intracranial hemorrhage: Observations on the ischemic pathogenesis of mantle sclerosis . Lab Invest 1959;8:680-700. 7. Vuia O, Alexianu M, Gabor S: Hypoplasia and obstruction of the circle of Willis in a case of atypical cerebral hemorrhage and its relationship to Nishimoto's disease . Neurology 1970;20:361-367.Crossref 8. Calhoun CL: Cerebral infarction due to internal carotid artery hypoplasia precipitated by head injury . South Med J 1972;65:114-115.Crossref 9. Midler DG, Lance JW: Intermittent claudication of one cerebral hemisphere . Neurology 1984;34:692-694.Crossref 10. Hill J, Sament S: Bilateral agenesis of the internal carotid artery associated with cardiac and other anomalies: Case report . Neurology 1968;18:142-146.Crossref 11. Turnbull I: Agenesis of the internal carotid artery . Neurology 1962;12:588-590.Crossref 12. Smith RR, Kees CJ, Hogg ID: Agenesis of the internal carotid artery with an unusual primitive collateral: Case report . J Neurosurg 1972;37:460-462.Crossref 13. Teal JS, Rumbaugh CL, Bergeron RT, et al: Congenital absence of the internal carotid artery associated with cerebral hemiatrophy, absence of the external carotid artery . AJR 1973;18:534-545.Crossref 14. Shigemori M, Kojo N, Miyagi J, et al: Agenesis of the left internal carotid artery associated with an aneurysm of the anterior communicating artery . Neurol Med Chir 1980;20:73-79.Crossref 15. Bernini FP, Cioffi FA, Muras I, et al: Agenesis of the right internal carotid artery associated with an aneurysm of the anterior communicating artery: Case report . Acta Neurochir 1980;54:257-263.Crossref 16. Naito T, Mikami Y, Nobuoka J, et al: Agenesis of internal carotid artery associated with aneurysm of anterior communicating artery . Ho Shinkei Geka 1977;6:593-596. 17. Servo A: Agenesis of the left internal carotid artery associated with an aneurysm on the right carotid syphon: Case report . J Neurosurg 1977;46:677-680.Crossref 18. Tsuruta J, Miyazaki Y: A case of complete absence of the left internal carotid artery associated with an aneurysm of the anterior communicating artery . Ho Shinkei Geka 1977;5:895-900. 19. Tangchai P, Khaoborisut V: Agenesis of internal carotid artery associated with aneurysm of contralateral middle cerebral artery . Neurology 1970;20:809-812.Crossref 20. Moyes PD: Basilar aneurysms associated with agenesis of the left internal carotid artery: Case report . J Neurosurg 1969;30:608-611.Crossref 21. Lhermitte F, Gautier JC, Poirier J, et al: Hypoplasia of the internal carotid artery . Neurology 1968;18:439-446.Crossref 22. Lagarde C, Vigouroux R, Perrouty P: Agénésie terminale de la carotide interne anévrysme de la communicante anterieure . J Radiol 1957;38:939-941. 23. Lie TA: Congenital Anomalies of the Carotid Arteries . Princeton, NJ, Excerpta Medica, 1968, pp 35-51. 24. Hawkins TD, Scott WC: Bilateral rete carotidis in man . Clin Radiol 1967;18:163-165.Crossref 25. Rosen IW, Mills DF, Nadel HI, et al: Angiographic demonstration of congenital absence of both internal carotid arteries: Case report . J Neurosurg 1975;42:478-482.Crossref 26. Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: Section VII, Part I. Evaluation of the conservative management of intracranial aneurysms . J Neurosurg 1966;25:574-592.Crossref 27. Locksley HB: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage: Sect V, pt I. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations: Based on 6368 cases in the cooperative study . J Neurosurg 1966;25:219-239.Crossref 28. Patel AN, Richardson AE: Ruptured intracranial aneurysms in the first two decades of life: A study of 58 patients . J Neurosurg 1971;35:571-576.Crossref 29. Devadiga KV, Mathai KV, Chandy J: Spontaneous cure of intracavernous aneurysm of the internal carotid artery in a 14-month-old child: Case report . J Neurosurg 1969;30:165-168.Crossref 30. Ferry PC, Kerber C, Peterson D, et al: Arteriectasis, subarachnoid hemorrhage in a 3month-old infant . Neurology 1974;24:494-500.Crossref 31. Orozco M, Trigueros F, Quintana F, et al: Intracranial aneurysms in early childhood . Surg Neurol 1978;9:247-252. 32. Lipper S, Morgan D, Krigman MR, et al: Congenital saccular aneurysm in a 19-day-old neonate: Case report and review of the literature . Surg Neurol 1978;10:161-165. 33. Keren G, Barzilay Z, Cohen BE: Ruptured intracranial arterial aneurysm in the first year of life: A case report . Arch Neurol 1980;37:392-393.Crossref 34. Kitano I, Fukui M, Kinoshita K: Infantile cerebral aneurysm . Surg Neurol 1981;16:386-390.Crossref 35. Heiskanen O, Vilkki J: Intracranial arterial aneurysms in children and adolescents . Acta Neurochir 1981;59:55-63.Crossref 36. Ostergaard JR, Voldby B: Intracranial arterial aneurysms in children and adolescents . J Neurosurg 1983;58:832-837.Crossref 37. Zee CS, Segall HD, McComb JG, et al: Intracranial arterial aneurysms in childhood: More recent considerations . J Child Neurol 1986;1:99-114.Crossref 38. Shucart WA, Wolpert SA: An aneurysm in infancy presenting with diabetes insipidus: Case report . J Neurosurg 1972;37:368-370.Crossref 39. Jones RK, Shearburn EW: Intracranial aneurysm in a 4-week-old infant: Diagnosis by angiography and successful operation . J Neurosurg 1961;18:122-124.Crossref 40. Bremer JL: Congenital aneurysms of the cerebral arteries: An embryologic study . Arch Pathol Lab Med 1943;35:819-831. 41. Garcia-Chavez C, Moossy J: Cerebral artery aneurysm in infancy: Association with agenesis of the corpus callosum . J Neuropathol Exp Neurol 1965;24:492-501.Crossref 42. Pool JL, Potts DG: Aneurysms and Arteriovenous Anomalies of the Brain: Diagnosis and Treatment . New York, Harper & Row Publishers Inc, 1965, p 57. 43. Forster FM, Alpers BJ: Aneurysm of circle of Willis associated with congenital polycystic disease of the kidneys . Arch Neurol Psychiatry 1943;50:669-676.Crossref 44. Jane JA: A large aneurysm of the posterior inferior cerebellar artery in a 1-year-old child . J Neurosurg 1961;18:245-247.Crossref 45. Tasker RR: Ruptured berry aneurysm of the anterior ethmoidal artery associated with bilateral spontaneous internal carotid artery occlusion in the neck: Case report . J Neurosurg 1983;59:687-691.Crossref 46. Alpers BJ, Dear RB: Hemiatrophy of the brain . J Nerv Ment Dis 1939;89:653-671. 47. Taveras JM, Wood EH: Diagnostic Neuroradiology . Baltimore, Williams & Wilkins, 1964, pp 1334-1340. 48. Hageman G, Gooskens RHJM, Willemse J: A cerebral cause of arthrogryposis: Unilateral cerebral hypoplasia . Clin Neurol Neurosurg 1985;87:119-122.Crossref 49. Vogel FS, McClenahan JL: Anomalies of major cerebral arteries associated with congenital malformations of the brain . Am J Pathol 1952;28:701-723. 50. Vogel FS: The association of vascular anomalies with anencephaly . Am J Pathol 1958;34:169-183. 51. Parker JC, Gaede JT: Occurrence of vascular anomalies in unilateral cerebral hypoplasia 'cerebral hemiatrophy.' Arch Pathol Lab Med 1970;90:265-270.

Journal

Archives of Neurology – American Medical Association

Published: Feb 1, 1987

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