Background: Pediatric aneurysms have been reported to exhibit features that differ from those in adults. Alternative treatment option is endovascular embolization. The challenge is due to a high risk of recanalization and regrowth.
Clinical case: An 11 years old boy came to Dr. Soetomo General Hospital Surabaya Indonesia with chief complain of progressive weakness on the left side of the body accompanied with numbness and skewed face on the same side. Other complies were disturbance on the left visual field, a chronic progressive headache and history of several epistaxis events. There were no altered of consciousness nor seizure. No history of having stroke or other vascular diseases, and no history of head trauma nor CNS infection. Patient had a reddish birthmark on left side of the buttock and an elevation of liver serum level. Cerebral angiography resulted a right P2 giant dissecting aneurysm, with dome dimension 30,3 mm x 9,6 mm. We performed detachable coiled occlusion of the proximal parent vessel of the aneurysm.
Conclusion: We accomplished occlude the aneurysm and on six months brain MRA evaluation showed shrinkage of the dome without recanalization nor infarction.

PEDIATRIC GIANT DISSECTING P2 ANEURYSM, TREATED WITH PROXIMAL PARENT VESSEL OCCLUSION, A Case Report