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Pediatric traumatic intracranial aneurysms

P A Yazbak1, J G McComb, C Raffel

  • 1Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, N.H. 03756-60001.

Pediatric Neurosurgery
|January 1, 1995
PubMed
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Traumatic intracranial aneurysms in children are rare but treatable. Prompt surgical intervention for these head injury complications can lead to positive outcomes without worsening neurological status.

Area of Science:

  • Pediatric Neurosurgery
  • Neurotrauma
  • Vascular Neurology

Background:

  • Traumatic intracranial aneurysms are uncommon but serious complications of head injuries in children.
  • These aneurysms can present with various neurological symptoms, including hemorrhage, fracture, or behavioral changes.

Purpose of the Study:

  • To review the presentation, management, and outcomes of pediatric patients with traumatic intracranial aneurysms.
  • To highlight the importance of considering traumatic aneurysms in the differential diagnosis of neurological changes following head trauma.

Main Methods:

  • Retrospective case series of 7 children treated for traumatic intracranial aneurysms.
  • Review of clinical presentations, diagnostic findings, surgical management, and patient outcomes.

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Main Results:

  • Seven pediatric patients were treated over 17 years.
  • Presentations included subarachnoid/intraparenchymal hemorrhage, growing fracture, and behavioral changes.
  • All patients underwent surgical management with no mortality or neurological deterioration.

Conclusions:

  • Traumatic intracranial aneurysms require surgical management in pediatric patients.
  • Surgical treatment for these aneurysms can be performed safely with favorable outcomes.
  • Consideration of traumatic aneurysms is crucial for new neurological symptoms after head injury.