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Related Concept Videos

Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...

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Updated: Jun 12, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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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.

Brian J Jian1, Steven W Hetts, Michael T Lawton

  • 1Department of Neurological Surgery, University of California San Francisco, 505 Parnassus Avenue, Room M779, San Francisco, CA 94143-0112, USA.

Neurosurgery Clinics of North America
|June 22, 2010
PubMed
Summary
This summary is machine-generated.

Pediatric intracranial aneurysms are rare vascular lesions in children. Effective treatment necessitates a multidisciplinary approach, integrating surgical, interventional, and critical care expertise for optimal outcomes.

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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Area of Science:

  • Pediatric Neurosurgery
  • Cerebrovascular Diseases
  • Vascular Malformations

Background:

  • Intracranial aneurysms in children are uncommon but present unique challenges.
  • These vascular lesions require specialized knowledge for diagnosis and management.
  • A coordinated, multidisciplinary approach is crucial for successful treatment.

Purpose of the Study:

  • To discuss the unique features of pediatric intracranial aneurysms.
  • To outline the necessary expertise for managing these rare conditions.
  • To review patient demographics, clinical presentations, complications, and treatment trends.

Main Methods:

  • Literature review focusing on pediatric intracranial aneurysms.
  • Analysis of patient populations, clinical presentations, and associated complications.
  • Examination of current and evolving treatment strategies, including surgical and interventional options.

Main Results:

  • Pediatric intracranial aneurysms exhibit distinct characteristics compared to adult counterparts.
  • Multidisciplinary care involving neurosurgery, interventional radiology, and pediatric critical care is essential.
  • Treatment trends show a shift towards minimally invasive techniques where appropriate.

Conclusions:

  • Effective management of pediatric intracranial aneurysms relies on a comprehensive understanding of their specific pathology.
  • A collaborative, multidisciplinary team is vital for addressing the complexities of these rare pediatric vascular lesions.
  • Continued research into treatment modalities will further refine outcomes for affected children.