Pediatric Intracranial Aneurysms: Favorable Outcomes Despite Rareness and Complexity

World Neurosurgery
Moinay KimWonhyoung Park

Abstract

Pediatric intracranial aneurysms (IAs) are rare and differ from their adult counterparts in terms of their aneurysmal characteristics, presentation, treatment, and outcomes. Their treatment is often more difficult and complex compared with that of adults. However, studies outlining the clinical effect of pediatric IAs remain sparse. We retrospectively reviewed the data from patients aged ≤18 years admitted to our hospital from 2000 to 2017 with a diagnosis of IAs. From the sample of 8207 patients with an IA diagnosis, 26 patients with 33 IAs were involved. Our cohort included 17 males and 9 females, with a mean age of 12.5 years. The mean follow-up duration was 4 years and 3 months. Seven patients (26.92%) were assumed to have a traumatic origin for their IAs. Ruptured aneurysms were more common than unruptured ones (61.53% vs. 38.46%). Complex features were observed in 14 aneurysms (42.42%). Initially, microsurgical and endovascular treatment were both performed in 10 patients (38.46%). A good recovery was obtained in 16 patients (61.54%) as determined by the Glasgow outcome scale scores at the 6-month follow-up visits. The complete obliteration of aneurysms was observed in 17 patients (65.38%). Endovascular treatment was the ...Continue Reading

Citations

Jun 14, 2020·Developmental Medicine and Child Neurology·Boris Lubicz, Florence Christiaens
Sep 5, 2019·Journal of Korean Neurosurgical Society·Sun Mo NamHyun-Seung Kang
Jan 7, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nader HejratiJehuda Soleman
Jan 5, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Zeferino DemartiniLuis Alencar Biurrum Borba
Oct 20, 2020·International Journal of Surgery Case Reports·Hung Manh NgoDong Duc Nguyen

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