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The clinical features and treatment of pediatric intracranial aneurysm

Jiantao Liang1, Yuhai Bao, Hongqi Zhang

  • 1Cerebrovascular Diseases Research Institute, Capital Medical University, 45 Changchun Street, Beijing 100053, China.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 8, 2008
PubMed

Insights

Pediatric intracranial aneurysms are rare but differ from adult cases. Both endovascular and microsurgical treatments are effective, with endovascular therapy often preferred for complex pediatric aneurysms, leading to favorable outcomes.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Vascular Neurology

Background:

  • Intracranial aneurysms are uncommon in children.
  • Understanding their unique characteristics is crucial for effective management.

Purpose of the Study:

  • To detail the clinical and radiological features of pediatric intracranial aneurysms.
  • To evaluate therapeutic outcomes and guide treatment strategies.

Main Methods:

  • Retrospective analysis of 24 pediatric patients (<14 years) treated over 23 years.
  • Review of diagnosis, treatment modalities (endovascular, microsurgical, conservative), and outcomes.

Main Results:

  • Posterior circulation and giant aneurysms were common (36% and 32%).
  • Subarachnoid hemorrhage occurred in 46% of patients.
  • 92% of patients achieved favorable outcomes with various treatments.

Conclusions:

  • Pediatric intracranial aneurysms exhibit distinct features compared to adults, including higher rates of giant and posterior circulation aneurysms.
  • Both endovascular and microsurgical approaches are effective.
  • Endovascular therapy is often the optimal choice for complex pediatric aneurysms.
Abstract

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