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.
Abstract

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