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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Intracranial aneurysms in the youngest patients: characteristics and treatment challenges

Bradley A Gross1, Edward R Smith, R Michael Scott

  • 1Department of Neurological Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass., USA.

Pediatric Neurosurgery
|February 28, 2015
PubMed

Insights

Pediatric aneurysms in children under 10 years old are distinct from adult types, often being fusiform/dissecting. Treatment approaches varied, with endovascular methods being common, and initial occlusion rates were high.

Area of Science:

  • Pediatric Neurosurgery
  • Cerebrovascular Diseases
  • Medical Imaging

Background:

  • Cerebral aneurysms in children present unique challenges compared to adults.
  • Aneurysm characteristics and treatment strategies differ between younger and older pediatric populations.

Purpose of the Study:

  • To characterize intracranial aneurysms in pediatric patients.
  • To evaluate treatment strategies and outcomes for pediatric aneurysms.

Main Methods:

  • Retrospective review of pediatric patients undergoing cerebral angiography from 2006-2014.
  • Analysis of demographics, aneurysm presentation, subtype, treatment, and outcomes.

Main Results:

  • 33 pediatric patients had intracranial aneurysms; 67% were fusiform/dissecting.
  • Patients aged 0-10 years were more likely to have nonsaccular, dissecting/fusiform aneurysms (84% vs 43%).
  • Endovascular treatment was used in 45% and microsurgery in 24%; 83% of aneurysms were occluded initially with 9% complications.

Conclusions:

  • Youngest pediatric patients (≤10 years) harbor aneurysms more distinct from adult aneurysms than older pediatric patients.
  • Findings highlight the unique nature of aneurysms in the youngest pediatric cohort.
Abstract

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