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March 14-16, 2019 | London, UK
12
th
International Conference on
8
th
International Conference on
Vascular Dementia and Dementia
Neurological Disorders and Stroke
Joint Event
&
Journal of Brain and Neurology | Volume 3
Paediatric Lenticulostriate Saccular Aneurysms - Challenges and outcomes: A case report
Sibhi Ganapathy
1
, Rajesh Nair
2
and
Girish Menon
2
1
Manipal Hospitals, India
2
Manipal University, India
D
istal Lenticulostriate aneurysms are uncommon. They
occur in a background of Moyamoya disease, vasculitis,
collagen vascular disorders or AVMs. A prominent minority
is idiopathic as well. Owing to the small caliber and high
pressures seen in the lenticulostriate artery, dissections as
well as fusiform dilatations are more common than saccular
aneurysms. A common presentation of these aneurysms is a
spontaneous basal ganglia hematomawith results inhemiplegia
and dysphasia (depending upon the side of involvement) with
or without obstructive hydrocephalus due to the presence of
intraventricular extension of the bleed. Incidental detections of
these aneurysms, especially in the pediatric age group are rare,
as the diagnosis can only definitely be made on angiography.
The detection is made difficult by the presence of concomitant
pathologies, such as Moyamoya disease and vasculitis with
obscure the imaging required for diagnosis. We present the
report of a leniculostriate saccular aneurysm, which presented
with acute onset (15 mins) features of raised ICP associated
with a hemiparesis. The aneurysm was surgically clipped. The
patient had a transient post op hemiplegia, which completely
recovered. The report highlights the rarity of the disease,
surgical challenges posed and the post op events to be expected
and prevented in order for optimal recovery to occur.
Speaker Biography
Sibhi Ganapathy finished his basic degree from the prestigious Christian Medical
College and Hospital Vellore in South India with distinction. He pursued a career in
Neurosurgery and Spine surgery which led him to the prestigious Manipal University
where he trained under the guidance of the renowned professor Girish Menon. He has
since been working in various centres of excellence in south India. He has conducted
many workshops and CME programmes involving Indian and International experts in
Spine, Skull Base Surgery and Paediatric Neurosurgery. He is an avid researcher and has
more than 30 publications, chapters in books and articles published in international
peer reviews publications. He is a member of various international organisations such
as the medical council of India, Neurological Society of India and the Walter Dandy
Society. His interest in neurosurgery is primarily dedicated to functional Neurosurgery
for Movement Disorders, as well as Vascular Neurosurgery and Stroke Prevention.
e:
sibhig@yahoo.co.uk