Related Experiment Video
Updated: Jul 5, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Management of intracranial aneurysm in children: clipped and coiled
Mingqi Yang1, Shuo Wang, Yuanli Zhao
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Chongwen District, Beijing, 100050, China.
Insights
Surgical treatment offers a safe and effective option for pediatric intracranial aneurysms. Microsurgery is recommended for residual aneurysms or recanalization after interventional therapy.
Area of Science:
- Pediatric Neurosurgery
- Cerebrovascular Surgery
Background:
- Intracranial aneurysms are rare in children but can have severe consequences.
- Understanding clinical features and treatment outcomes is crucial for pediatric neurovascular care.
Purpose of the Study:
- To describe clinical features of pediatric intracranial aneurysms.
- To evaluate the efficacy and safety of surgical and endovascular treatments.
Main Methods:
- Retrospective review of 13 pediatric patients with intracranial aneurysms treated over 16 years.
- Analysis of clinical data and long-term follow-up outcomes.
Main Results:
- Eight patients underwent direct surgical treatment, with seven achieving good recovery and one mortality.
- Five patients treated with Guglielmi detachable coils (GDC) showed varied outcomes, including successful sealing, residual aneurysms, and recanalization.
- Re-treatment for residual aneurysms or recanalization included further embolization and surgical resection, with associated morbidity and mortality.
Conclusions:
- Direct surgical intervention is a safe and effective treatment for pediatric intracranial aneurysms.
- Guglielmi detachable coils (GDC) are safe for acute bleeding but require long-term follow-up.
- Microsurgery is recommended for managing residual aneurysms or recanalization post-endovascular therapy.
Objectives:
The objective was to describe the clinical features of intracranial aneurysm in children and evaluate the efficacy and safety of different treatment approaches for children with intracranial aneurysms.
Materials And Methods:
Clinical data of 13 child patients with intracranial aneurysms that were diagnosed and treated in our hospital in the past 16 years were reviewed. Long-term follow-up data were also collected and reported.
Results:
Direct surgical treatment was performed on eight out of all 13 patients; among them, seven achieved good recovery and one died. The remaining five patients were treated with Guglielmi detachable coils (GDC). The aneurysm was successfully sealed off in one case and achieved good postoperative recovery. Residual aneurysm was detected in two cases; a second resection surgery was performed on one patient who died after the operation and on another with neck occlusion who recovered well. Two cases experienced aneurysm recanalization after interventional therapy; among them, one was treated with a second embolotherapy but had recanalization once again and was finally cured by aneurysm resection surgery.
Conclusion:
Aneurysmal surgery is proved to be a safe and effective treatment for children with intracranial aneurysm. Although requiring a long-term follow-up period to determine the clinical outcome, GDC is also shown to be safe for a child having acute bleeding. Once a residual aneurysm or recanalization occurs, microsurgery is recommended.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
01:22Aneurysm IV: Nursing Management
01:28Angle Closure Glaucoma: Treatment
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies