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Traumatic aneurysms of the pericallosal artery in children. Case report

G Gallari1, S Chibbaro, G Perra

  • 1Institute of Neurosurgery, University of Palermo, Italy.

Journal of Neurosurgical Sciences
|June 1, 1997
PubMed

Insights

Pediatric intracranial aneurysms are rare, often large, and found in males, suggesting traumatic origins. Early diagnosis via MR angiography in head-injured children improves surgical outcomes.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Vascular Neurology

Background:

  • Intracranial aneurysms are uncommon in children, unlike in adults.
  • Epidemiological data suggests specific characteristics in pediatric cases.

Observation:

  • Pediatric aneurysms show a male predominance, large volumes, and distal locations.
  • These features suggest a potential traumatic etiology, including birth or accidental trauma.
  • Arteriovenous malformations are often considered in juvenile subarachnoid hemorrhage, but aneurysms should be ruled out.

Findings:

  • MR angiography is recommended for diagnosing aneurysms in head-injured pediatric patients before rupture.
  • Surgical treatment outcomes are generally favorable when patients have a good preoperative neurological status.

Implications:

  • Increased use of MR angiography can lead to earlier diagnosis and intervention for pediatric intracranial aneurysms.
  • Prompt diagnosis and treatment can significantly improve patient outcomes and reduce morbidity.

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