[Intracranial arterial aneurysm in children]

Over a period of 13 years 5 children aged 8 to 11 were operated on intracranial arterial aneurysms. Special features of these aneurysms in children were accidents in the anamnesis of three children and one localization at the internal carotid artery bifurcation and another one at a peripheral artery. It is unusual to have fusiform dilatations at the basis of two aneurysms and one large aneurysm among 5 cases in comparison to aneurysms in adults. This hints to the possibility of more extended artery lesions with aneurysms in children. The intracranial hemorrhage which often leads to a diagnosis makes an immediate neuroradiological check necessary. Hemorrhage or operation were survived by all children. Space occupying hematomas diminish the quality of outcome considerably and therefore must be operated on immediately.