Management of Pediatric Posterior Circulation Aneurysms-12-Year Single-Institution Experience

World Neurosurgery
Mayank GargSharad S Kale

Abstract

Pediatric posterior circulation aneurysms are rare, complex, poorly understood lesions on which only limited literature is currently available. We report our 12-year experience of managing this condition to enhance knowledge of this rare entity. Patients <18 years old with posterior circulation aneurysms managed at our institution from January 2005 to April 2017 were included. Demographic, clinical, radiologic and management details were retrieved from hospital records and characteristics of the aneurysms and treatment were analyzed. During this period, 20 pediatric patients (male-to-female ratio 15:6; mean age, 13.1 years) with posterior circulation aneurysms were treated. Most of the patients (75%) presented with subarachnoid hemorrhage. The most common location was the vertebrobasilar junction and vertebral artery (31.81%) followed by the basilar artery and the posterior cerebral artery (27.72% each). Dissecting (81.8%) and large (63.63%) aneurysms were the most common types noted. Of the15 patients with 22 aneurysms treated, 13 underwent endovascular management (parent vessel sacrifice in 8 aneurysms and parent vessel preservation in 5 aneurysms), 1 patient underwent surgery, and 1 patient received medical management for ce...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jan 1, 1991·British Journal of Neurosurgery·J R Ostergaard
Jan 1, 1991·Pediatric Neurosurgery·J M HermanR F Spetzler
Mar 1, 1981·Neurosurgery·A L AmacherG G Ferguson
Jan 1, 1981·Acta neurochirurgica·O Heiskanen, J Vilkki
Aug 1, 1994·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·E C Ventureyra, M J Higgins
Feb 1, 1995·Mayo Clinic Proceedings·F B MeyerD A Nichols
Jan 1, 1995·Pediatric Neurosurgery·P A YazbakC Raffel
Jun 20, 1998·Pediatric Radiology·J W AllisonC M Glasier
Dec 22, 1999·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·K G terBrugge
Feb 5, 2000·Stroke; a Journal of Cerebral Circulation·S Juvela
Apr 19, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Pierre LasjauniasAugustin Ozanne
May 3, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ronit AgidKarel G TerBrugge
May 11, 2005·Surgical Neurology·Judy HuangRafael J Tamargo
Nov 23, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·B S SharmaA K Mahapatra
Jan 30, 2007·Journal of the Neurological Sciences·José E CohenGustavo Rajz
Oct 8, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jiantao LiangFeng Ling
Nov 22, 2008·Stroke; a Journal of Cerebral Circulation·Lori C JordanHeather J Fullerton
Apr 10, 2009·AJNR. American Journal of Neuroradiology·S W HettsV V Halbach
Jun 27, 2009·Neuroradiology·Xianli LvZhongxue Wu
Sep 1, 2008·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·T KringsF J Hans
Jun 22, 2010·Neurosurgery Clinics of North America·Brian J JianNalin Gupta
Jul 14, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nader SanaiMichael T Lawton
Jun 30, 1999·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·P Lasjaunias
Jun 5, 2012·Journal of Neurosurgery. Pediatrics·Päivi Koroknay-PálJuha Hernesniemi
Jun 14, 2012·Stroke; a Journal of Cerebral Circulation·Päivi Koroknay-PálMika Niemelä
Jul 24, 2012·Journal of Neurosurgery. Pediatrics·Rashmi SarafUday Limaye
Aug 28, 2012·Journal of Neurosurgery. Pediatrics·Anant MehrotraRaj Kumar
Mar 7, 2013·Stroke; a Journal of Cerebral Circulation·Päivi Koroknay-PálJuha Hernesniemi
Dec 11, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kanwaljeet GargAshok Kumar Mahapatra
May 20, 2014·Journal of Neurosurgery. Pediatrics·Aws AlawiAmer Alshekhlee

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Nov 30, 2019·Clinical Pediatrics·Charles Benjamin Greenbury
Oct 9, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Kittiphop SomboonnithipholBandit Sirilert

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