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Updated: Jun 10, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Diagnosis and management of intracranial aneurysm in children]
Ming-qi Yang1, Shuo Wang, Yuan-li Zhao
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Insights
Pediatric intracranial aneurysms require diverse treatments. Surgery offers a high success rate, while endovascular coiling (GDC) is effective for acute SAH, though microsurgery is recommended for residual or recurrent cases.
Area of Science:
- Pediatric Neurosurgery
- Vascular Neurology
Background:
- Intracranial aneurysms are rare in children but can have severe consequences.
- Understanding clinical presentations and treatment outcomes is crucial for pediatric neurovascular care.
Purpose of the Study:
- To detail the clinical features of intracranial aneurysms in pediatric patients.
- To assess the effectiveness and safety of surgical and endovascular treatments for pediatric intracranial aneurysms.
Main Methods:
- Retrospective review of clinical data from 23 pediatric patients with intracranial aneurysms over 18 years.
- Analysis of follow-up data to evaluate treatment outcomes and complications.
Main Results:
- Surgery was performed in 16 patients, with 15 achieving excellent recovery.
- Endovascular treatment with Guglielmi detachable coils (GDC) showed success in acute SAH cases, but recanalization occurred in two patients.
- Microsurgical interventions, including aneurysmectomy and neck clipping, were employed with varying outcomes.
Conclusions:
- Surgical management is a safe and effective primary treatment for pediatric intracranial aneurysms.
- Endovascular coiling (GDC) is a viable option for acute SAH, but long-term follow-up is essential.
- Microsurgical intervention is recommended for managing aneurysm remnants or recanalization post-endovascular therapy.
Objective:
To describe the clinical manifestations of intracranial aneurysm in children and to evaluate the efficacy and safety of different therapeutic approaches for children with intracranial aneurysms.
Methods:
Clinical data of 23 pediatric patients with intracranial aneurysms diagnosed and treated at our hospital over the past 18 years were retrospectively reviewed. Follow-up data were also collected and analyzed.
Results:
Two patients received no further treatment. Surgery was performed in 16 patients. Among them, 15 achieved an excellent recovery and 1 died. 5 patients were treated with Guglielmi detachable coil (GDC). Aneurysm was successfully sealed off in one case and an excellent recovery achieved; remnant aneurysm was detected in two cases. One received trapping while another underwent aneurysmectomy. The patient died postoperatively. Another received neck clipping and resection. And the patient recovered well; two cases experienced aneurysm recanalization after interventional therapy. Among them, one received a second embolotherapy but it became recanalized again. And it was finally cured by aneurysmectomy.
Conclusion:
Aneurysm surgery is proved to be a safe and effective treatment for children with intracranial aneurysm. Endovascular treatment of intracranial aneurysms with GDC is also shown to be effective and safe for pediatric patient with acute SAH. But a long-term follow-up study is required to determine the clinical outcome. Once a aneurysm remnant or recanalization occurs, a microsurgical management is recommended.
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