Diagnostic characteristics and management of intracranial aneurysms in children

Ronit Agid1, Tali Jonas Kimchi, Seon-Kyu Lee

  • 1Division of Neuroradiology, Toronto Western Hospital, Department of Medical Imaging, University Health Network (UHN), University of Toronto, Toronto, Ontario, Canada. ronit.agid@uhn.on.ca

Insights

Pediatric aneurysms differ from adult aneurysms in key features. Endovascular treatment is preferred for childhood aneurysms, offering better outcomes.

Area of Science:

  • Pediatric Neurology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Childhood aneurysms present unique characteristics distinct from adult counterparts.
  • Significant differences observed in gender prevalence, anatomical location, morphology, and etiology compared to adult aneurysms.

Purpose of the Study:

  • To highlight the distinct features of pediatric aneurysms.
  • To review and recommend optimal treatment strategies for childhood aneurysms.

Main Methods:

  • Comparative analysis of pediatric versus adult aneurysm characteristics.
  • Review of current surgical and endovascular treatment modalities.

Main Results:

  • Pediatric aneurysms exhibit specific differences in gender distribution, location, shape, and cause.
  • Endovascular approaches provide reconstructive and deconstructive techniques with lasting results.

Conclusions:

  • Endovascular treatment is the recommended approach for pediatric aneurysms when feasible.
  • This approach ensures durable results and superior clinical outcomes in children.

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