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Published on: June 16, 2013
Pediatric intracranial aneurysms: changes from previous studies
Ruiqi Chen1, Si Zhang1, Chao You1
1Department of Neurosurgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, People's Republic of China.
Insights
Pediatric intracranial aneurysms (PIAs) present differently by age, with middle cerebral artery involvement being common. Pseudoaneurysms and distal arterial aneurysms are notable subtypes requiring further study.
Area of Science:
- Neurology
- Pediatric Neurosurgery
- Vascular Neurology
Background:
- Pediatric intracranial aneurysms (PIAs) are rare but serious vascular malformations.
- Understanding their unique characteristics is crucial for effective management.
Purpose of the Study:
- To enhance understanding of pediatric intracranial aneurysms (PIAs).
- To identify key demographic, clinical, and etiological features of PIAs.
Main Methods:
- Retrospective analysis of 66 PIAs in 64 pediatric patients treated between January 2012 and April 2017.
- Review of clinical data, treatment details, and follow-up outcomes.
Main Results:
- Mean patient age was 11.4 years, with a male predominance (68.8%).
- Seizures were common in younger children (0-5 years), while headaches predominated in older children (6-18 years).
- Middle cerebral artery (MCA) was the most frequent location (42.4%); pseudoaneurysms (23.4%) were often linked to head trauma; distal arterial aneurysms (54.7%) correlated with seizures.
Conclusions:
- New findings include age-specific symptoms, MCA predominance, high pseudoaneurysm rates with trauma etiology, and distal aneurysm-seizure links.
- These insights contribute to a better understanding of PIA heterogeneity and management strategies.
Purpose:
To develop a better understanding of pediatric intracranial aneurysms (PIAs).
Methods:
All PIAs treated in our center from January 2012 to April 2017 were retrospectively included. Clinical data, treatment summaries, and follow-up outcomes were retrieved and analyzed.
Results:
A total of 66 PIAs were found in 64 patients with a mean age of 11.4 ± 5.7 years, 68.8% of whom were male. The most common symptoms were seizure (n = 7, 63.6%) for the 0-5 age group and headache (n = 38, 71.7%) for the 6-18 age group. Fifty-one PIAs (77.3%) were located in the anterior circulation, with the middle cerebral artery (MCA) being the most common site (n = 28, 42.4%). Fifteen patients (23.4%) had PIAs that were pseudoaneurysms, and nine of them (60%) had a combined history of head trauma. Thirty-five patients (54.7%) had distal arterial aneurysms, and 21 of them (60%) presented with seizure. During a mean follow-up time of 1.6 ± 1.2 years, 79.7% of patients (n = 51) had favorable outcomes, 5 patients (7.8%) died, and the remaining 8 patients (12.5%) had unfavorable outcomes with severe neurological deficits.
Conclusion:
Apart from characteristics consistent with previous studies, several new findings regarding PIAs were reported, including a difference in the most common symptoms in different age groups, the MCA as the predominant location of PIAs, the high ratio of pseudoaneurysms and their head trauma etiology, and the incidence of distal arterial aneurysms and their relationship with the risk of seizures.
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