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Updated: Jun 18, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Pediatric intracranial aneurysms
1Department of Neurosurgery, Apollo Gleneagles Hospitals, Kolkata - 700 058, West Bengal, India. laxmitripathy@yahoo.co.uk
Insights
Subarachnoid hemorrhage from intracranial aneurysms is rare in children. Surgical clipping of these pediatric aneurysms can lead to good recovery, with careful handling of delicate arteries being crucial.
Area of Science:
- Neurology
- Neurosurgery
- Pediatric Medicine
Background:
- Subarachnoid hemorrhage (SAH) due to intracranial aneurysms is exceptionally rare in pediatric patients.
- Vasospasm, a common complication in adults, appears less frequent in children with aneurysms.
Observation:
- This study presents four pediatric cases of intracranial aneurysms.
- All patients underwent surgical intervention for their solitary aneurysms.
Findings:
- Surgical clipping was performed in all four pediatric cases.
- All children experienced a favorable recovery following the clipping procedure.
Implications:
- Pediatric intracranial aneurysms, though rare, can be successfully treated with surgical clipping.
- Outcomes in pediatric neurosurgery for aneurysms may be superior to those in adults, emphasizing meticulous surgical technique.
Abstract:
The incidence of subarachnoid haemorrhage from intracranial aneurysms in the paediatric age group is extremely rare. Interestingly, occurrence of vasospasm has been reported to be less in comparison to the adults. Both coiling and clipping have been advocated in selected cases. Because of the thinness of the wall of the arteries, utmost care should be taken while handling these arteries during surgery. The overall results of surgery in children have been reported to be better than their adult counterparts. We present four such cases from our own experience. All these children were operated upon, where the solitary aneurysm in each case was clipped and all of them made a good recovery.
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