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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Pediatric intracranial aneurysms: an institutional experience
Vivek Kumar Vaid1, Raj Kumar, Samir Kumar Kalra
1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Pediatric Neurosurgery
|May 16, 2008
Summary
Pediatric intracranial aneurysms, though rare, often present with subarachnoid hemorrhage and have a male predominance. These children show better grades and surgical outcomes compared to adults.
Area of Science:
- Pediatric Neurosurgery
- Cerebrovascular Diseases
- Epidemiology
Background:
- Intracranial aneurysms are rare in children, with poorly understood epidemiology and unique characteristics.
- This study investigates the epidemiology, clinicoradiological profile, and outcomes of pediatric intracranial aneurysms.
Purpose of the Study:
- To analyze the epidemiological features of pediatric intracranial aneurysms.
- To describe the clinicoradiological presentation and outcomes in children with intracranial aneurysms.
Main Methods:
- Retrospective analysis of 27 pediatric patients (<18 years) treated for intracranial aneurysms between 1991 and 2007.
- Patients presented with subarachnoid hemorrhage (SAH) or mass effect, confirmed by digital subtraction angiography.
Main Results:
- Most pediatric patients (85.18%) presented with SAH, with sudden severe headache and loss of consciousness as common symptoms.
- Internal carotid artery (ICA) bifurcations and middle cerebral artery (MCA) bifurcations were the most frequent aneurysm sites.
- A higher incidence of giant and posterior circulation aneurysms was observed compared to adults.
Conclusions:
- Pediatric intracranial aneurysms commonly present with SAH, showing a male predominance.
- ICA and MCA bifurcations are the most common locations.
- Children with intracranial aneurysms tend to present with better grades and achieve more favorable surgical outcomes than adults.
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