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Cerebral aneurysms in children.

M Ito1, M Yoshihara, M Ishii

  • 1Department of Neurosurgery Juntendo University School of Medicine, Tokyo, Japan.

Brain & Development
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

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Childhood intracranial aneurysms are rare but can cause serious subarachnoid hemorrhage (SAH). Repeated angiography is crucial for diagnosing these aneurysms, even if initial scans are negative.

Area of Science:

  • Pediatric Neurosurgery
  • Cerebrovascular Diseases

Background:

  • Intracranial saccular aneurysms are uncommon in children, representing only 0.6-4.6% of all aneurysms.
  • Spontaneous subarachnoid hemorrhage (SAH) in childhood is a rare but serious condition.

Observation:

  • Two pediatric cases of intracranial aneurysms are presented: a 12-year-old boy with sudden severe headaches and a 3-year-old boy with an incidentally discovered aneurysm.
  • Initial CT indicated SAH in the first case, but angiography initially failed to identify the aneurysm. Repeat angiography revealed a small aneurysm successfully treated with a miniclip.
  • In the second case, CT incidentally revealed a large aneurysm of the middle cerebral artery, which was surgically clipped despite compromise of the prefrontal artery.

Findings:

  • Repeated angiography is essential for diagnosing childhood aneurysms, especially when initial imaging is negative.

Related Experiment Videos

  • Childhood aneurysms are increasingly detected incidentally via CT scans.
  • Surgical outcomes for pediatric aneurysms can be favorable, though challenges like vessel compromise may occur.

    • Implications:

    • This study highlights the importance of persistent diagnostic efforts in pediatric SAH.
    • Understanding the unique characteristics of childhood aneurysms is vital for effective management.
    • Early and accurate diagnosis through advanced imaging and repeated angiography improves surgical outcomes in pediatric cerebrovascular disease.