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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Pediatric cerebral aneurysms
Joseph J Gemmete1, Ahmed K Toma, Indran Davagnanam
1Division of Interventional Neuroradiology and Cranial Base Surgery, Departments of Radiology, Neurosurgery, and Otolaryngology, University of Michigan Health System, UH B1D 328, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5030, USA.
Neuroimaging Clinics of North America
|October 26, 2013
Summary
Childhood intracranial aneurysms present unique challenges. Endovascular treatment is preferred for pediatric aneurysms, but long-term outcomes require further study with ongoing follow-up.
Area of Science:
- Pediatric Neurosurgery
- Vascular Neurology
- Interventional Neuroradiology
Background:
- Childhood intracranial aneurysms (CIAs) are rare and distinct from adult aneurysms in epidemiology, etiology, and presentation.
- Surgical management of CIAs historically carried significant risks.
- The advent of endovascular techniques has offered new therapeutic avenues for pediatric cerebrovascular diseases.
Purpose of the Study:
- To review the clinical presentation, diagnostic modalities, and treatment strategies for pediatric intracranial aneurysms.
- To present data on the outcomes of endovascular treatment for CIAs.
- To highlight the necessity of long-term surveillance for endovascularly treated pediatric aneurysms.
Main Methods:
- Review of clinical data and imaging findings in pediatric patients with intracranial aneurysms.
- Analysis of treatment approaches, focusing on endovascular interventions.
- Evaluation of clinical outcomes and imaging surveillance data.
Main Results:
- Endovascular treatment is associated with better clinical outcomes compared to open surgery for pediatric aneurysms.
- Endovascular approaches offer both reconstructive and deconstructive techniques.
- Long-term durability of endovascular treatment in children remains a concern, necessitating vigilant follow-up.
Conclusions:
- Endovascular therapy is the recommended approach for pediatric intracranial aneurysms due to improved outcomes.
- While effective, the long-term efficacy of endovascular treatment requires continued investigation.
- Comprehensive long-term clinical and imaging follow-up is crucial for managing pediatric intracranial aneurysms treated endovascularly.
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