Endovascular Treatment of an Adolescent Patient with a Ruptured Intracranial Aneurysm – Case Report and Review of Literature

BACKGROUND: The occurence of aneurysms in young patients, under 18 years of age, is estimated at 0.5–2% of all diagnosed aneurysms. CASE REPORT: We reported on a case of a 16-year-old patient with subarachnoid hemorrhage diagnosed due to a ruptured cerebral vessel aneurysm. The angio-CT revealed an aneurysm of the middle cerebral artery, in its distal branch. An ad hoc coil embolization was performed with angiographic success. After 6 months following the ictus, the patient underwent a control angiography which confirmed total occlusion of the aneurysm with no residual inflow. Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale). CONCLUSIONS: In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.