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Pediatric intracranial aneurysms are a rare entity, with an often reported prevalence ranging from 0.5% to 4.6%. Their etiology is poorly understood; however, their association with other congenital disorders, such as polycystic kidney disease and Marfan syndrome, has been widely documented in the pediatric neurosurgical literature. We present a case of a 9-month-old boy with tuberous sclerosis with a giant cavernous internal carotid artery aneurysm presenting with third nerve palsy.

Complete resolution of large intracranial aneurysm and cranial nerve deficits after endovascular treatment in an infant with tuberous sclerosis