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Related Experiment Videos

Pediatric intracranial aneurysms: simple and complex cases.

J M Herman1, H L Rekate, R F Spetzler

  • 1Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Ariz.

Pediatric Neurosurgery
|January 1, 1991
PubMed
Summary
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Pediatric aneurysms, particularly those presenting as subarachnoid hemorrhage, can be effectively treated with clip obliteration. Complex pediatric aneurysms require advanced surgical techniques, yielding good outcomes.

Area of Science:

  • Pediatric Neurosurgery
  • Cerebrovascular Surgery
  • Pediatric Neurology

Background:

  • Cerebral aneurysms in pediatric patients are rare but can lead to significant morbidity and mortality.
  • Management strategies for pediatric aneurysms vary based on aneurysm type, location, and patient presentation.
  • Subarachnoid hemorrhage (SAH) in children necessitates prompt and effective intervention.

Purpose of the Study:

  • To analyze the pathogenesis and management of pediatric aneurysms treated between 1984 and 1990.
  • To evaluate the outcomes of surgical interventions for both solitary and complex pediatric aneurysms.
  • To present a comprehensive review of pediatric aneurysm treatment at a single institution.

Main Methods:

  • Retrospective review of 20 aneurysms in 16 pediatric patients (≤18 years) treated from 1984 to 1990.

Related Experiment Videos

  • Classification of aneurysms into solitary saccular (n=7) and complex/multiple (n=9) types.
  • Surgical techniques included clip obliteration, hypothermic arrest, trapping, bypass, and anastomotic procedures.

    • Main Results:

    • Solitary saccular aneurysms presenting as SAH showed excellent/good outcomes in 5/6 patients treated with clip obliteration.
    • Complex pediatric aneurysms (giant, infectious, traumatic, AVM-associated) required advanced surgical interventions.
    • Outcomes for complex aneurysms were excellent/good in 7/9 patients and fair in 2/9.

    Conclusions:

    • Clip obliteration is an effective treatment for solitary saccular pediatric aneurysms causing SAH.
    • Complex pediatric aneurysms necessitate tailored surgical approaches, including advanced techniques, with favorable outcomes.
    • This study highlights the importance of individualized management strategies for pediatric cerebral aneurysms.