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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

Pediatric Traumatic Pericallosal Artery Aneurysm

Xifeng Fei1, Ruwei Qin, Mian Wang

  • 1Department of Neurosurgery, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, China.

The Journal of Craniofacial Surgery
|May 14, 2026
PubMed

Insights

Traumatic pericallosal artery aneurysms in children can be missed due to nonspecific symptoms. Early digital subtraction angiography (DSA) is crucial for diagnosis and prompt intervention to improve outcomes.

Area of Science:

  • Pediatric Neurosurgery
  • Vascular Neurology
  • Traumatic Brain Injury

Background:

  • Traumatic pericallosal artery aneurysms are rare but serious complications in children.
  • Delayed diagnosis can lead to severe neurological deficits or death.

Purpose of the Study:

  • To examine the clinical features, treatment strategies, and management considerations for pediatric traumatic pericallosal artery aneurysms.
  • To highlight the importance of timely diagnosis and intervention.

Main Methods:

  • Retrospective case analysis of a pediatric traumatic brain injury patient.
  • Comprehensive literature review on traumatic pericallosal artery aneurysms.

Main Results:

  • A case of delayed traumatic pericallosal artery aneurysm after head injury and surgery is presented.
  • Initial imaging was negative, but subsequent DSA confirmed the aneurysm, leading to embolization with an unfavorable outcome.

Conclusions:

  • Clinical and radiological signs of these aneurysms are often nonspecific, increasing the risk of missed diagnosis.
  • Early and potentially repeat DSA is vital for diagnosis.
  • Prompt surgical or endovascular treatment is recommended upon diagnosis.
Abstract

Keywords:
Childendovascular interventionintracranial aneurysm embolizationtraumatic pericallosal artery aneurysms

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