Pediatric intracranial distal arterial aneurysms: report of 35 cases

Pediatric intracranial distal arterial aneurysms: report of 35 cases Background Although research on pediatric intracranial aneurysms is well documented, studies of pediatric intracranial distal arterial aneurysms (PIDAAs) remain scarce. Methods All pediatric patients (≤ 18 years) with intracranial aneurysms located distally to the M2 segment of the middle cerebral artery (MCA), A2 segment of the anterior cerebral artery, P2 segment of the posterior cerebral artery, and other cerebral arteries distal to the main branch who were treated at our center between January 2012 and April 2017 were retrospectively reviewed. Results Thirty-five PIDAAs were observed in 35 patients with a mean age of 9.2 ± 5.9 years and a male ratio of 71.4% (n =25). Sudden onset of severe headache was the most common symptom (n = 22, 62.9%), followed by seizures (n = 21, 60%). Twenty- seven patients (77.1%) had ruptured aneurysms, and 18 of them (66.7%) exhibited combined lobe intracerebral hematoma. MCA was the most common site (n = 23, 65.7%). Large or giant aneurysms were observed in 16 patients (45.7%). Eight patients (22.9%) had pseudoaneurysms, six of whom (75%) reported a head trauma history. Thirty patients (85.7%) had favorable outcomes at the end of the 6-month follow-up. Kaplan-Meier 6-month seizure curves revealed a significantly higher decrease http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Neurochirurgica Springer Journals

Pediatric intracranial distal arterial aneurysms: report of 35 cases

Chen, Ruiqi; Zhang, Si; Guo, Rui; Ma, Lu; You, Chao
Acta Neurochirurgica, Volume 160 (8) – Jun 2, 2018
10 pages
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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag GmbH Austria, part of Springer Nature
Subject
Medicine & Public Health; Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery
ISSN
0001-6268
eISSN
0942-0940
D.O.I.
10.1007/s00701-018-3574-0
Publisher site
See Article on Publisher Site

Abstract

Background Although research on pediatric intracranial aneurysms is well documented, studies of pediatric intracranial distal arterial aneurysms (PIDAAs) remain scarce. Methods All pediatric patients (≤ 18 years) with intracranial aneurysms located distally to the M2 segment of the middle cerebral artery (MCA), A2 segment of the anterior cerebral artery, P2 segment of the posterior cerebral artery, and other cerebral arteries distal to the main branch who were treated at our center between January 2012 and April 2017 were retrospectively reviewed. Results Thirty-five PIDAAs were observed in 35 patients with a mean age of 9.2 ± 5.9 years and a male ratio of 71.4% (n =25). Sudden onset of severe headache was the most common symptom (n = 22, 62.9%), followed by seizures (n = 21, 60%). Twenty- seven patients (77.1%) had ruptured aneurysms, and 18 of them (66.7%) exhibited combined lobe intracerebral hematoma. MCA was the most common site (n = 23, 65.7%). Large or giant aneurysms were observed in 16 patients (45.7%). Eight patients (22.9%) had pseudoaneurysms, six of whom (75%) reported a head trauma history. Thirty patients (85.7%) had favorable outcomes at the end of the 6-month follow-up. Kaplan-Meier 6-month seizure curves revealed a significantly higher decrease

Journal

Acta Neurochirurgica – Springer Journals

Published: Jun 2, 2018

References

  • High-flow bypass and tandem microsurgical-endovascular occlusion of recurrent proximal middle cerebral artery aneurysms in a pediatric patient
    Abla, AA; Ducruet, AF; Spetzler, RF; Crowley, RW; McDougall, CG; Albuquerque, FC
  • Traumatic aneurysms of the intracranial and cervical vessels: a review
    Bhaisora, KS; Behari, S; Godbole, C; Phadke, RV
  • Acute ischemic stroke in children versus young adults
    Bigi, S; Fischer, U; Wehrli, E; Mattle, HP; Boltshauser, E; Burki, S; Jeannet, PY; Fluss, J; Weber, P; Nedeltchev, K; El-Koussy, M; Steinlin, M; Arnold, M
  • Seizures and epilepsy following aneurysmal subarachnoid hemorrhage : incidence and risk factors
    Choi, KS; Chun, HJ; Yi, HJ; Ko, Y; Kim, YS; Kim, JM
  • Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association
    Connolly, ES; Rabinstein, AA; Carhuapoma, JR; Derdeyn, CP; Dion, J; Higashida, RT; Hoh, BL; Kirkness, CJ; Naidech, AM; Ogilvy, CS; Patel, AB; Thompson, BG; Vespa, P
  • HydroCoil embolization of a ruptured infectious aneurysm in a pediatric patient: case report and review of the literature
    Eddleman, C; Nikas, D; Shaibani, A; Khan, P; Dipatri, AJ; Tomita, T
  • Unruptured cerebral aneurysms causing seizure disorder (report of two cases)
    Ellamushi, H; Thorne, L; Kitchen, N
  • Middle cerebral artery aneurysms in children: case series and review
    Fulkerson, DH; Voorhies, JM; Payner, TD; Leipzig, TJ; Horner, TG; Redelman, K; Cohen-Gadol, AA
  • Pediatric intracranial aneurysms—our experience and review of literature
    Garg, K; Singh, PK; Sharma, BS; Chandra, PS; Suri, A; Singh, M; Kumar, R; Kale, SS; Mishra, NK; Gaikwad, SK; Mahapatra, AK
  • Pediatric cerebral aneurysms
    Gemmete, JJ; Toma, AK; Davagnanam, I; Robertson, F; Brew, S
  • Uncommon presentation of pediatric ruptured intracranial aneurysm after radiotherapy for retinoblastoma. Case report
    Gonzales-Portillo, GA; Valdivia, JM
  • Pediatric giant right atrial aneurysm: a case series and review of the literature
    Harder, EE; Ohye, RG; Knepp, MD; Owens, ST
  • Epilepsy after subarachnoid hemorrhage: the frequency of seizures after clip occlusion or coil embolization of a ruptured cerebral aneurysm: results from the International Subarachnoid Aneurysm Trial
    Hart, Y; Sneade, M; Birks, J; Rischmiller, J; Kerr, R; Molyneux, A
  • Ruptured intracranial arterial aneurysms of children and adolescents. Surgical and total management results
    Heiskanen, O
  • An intracranial pseudoaneurysm in the distal middle cerebral artery in a child
    Honda, M; Nagamine, T; Yamashiro, K; Shimoji, T
  • Intracranial aneurysms in the pediatric population: case series and literature review
    Huang, J; McGirt, MJ; Gailloud, P; Tamargo, RJ
  • Endovascular treatment of an adolescent patient with a ruptured intracranial aneurysm—case report and review of literature
    Juszkat, R; Jonczyk-Potoczna, K; Stanislawska, K; Bartkowska-Sniatkowska, A; Rosada-Kurasinska, J; Liebert, W; Moskal, J
  • Pathomechanisms and treatment of pediatric aneurysms
    Krings, T; Geibprasert, S; terBrugge, KG
  • Intracranial aneurysms in patients 18 years of age or under, are they different from aneurysms in adult population?
    Krishna, H; Wani, AA; Behari, S; Banerji, D; Chhabra, DK; Jain, VK
  • Complex partial seizures associated with unruptured thrombosed basilar artery apex aneurysm
    Leibrock, LG; Bennett, DR; Bloch, S
  • The clinical features and treatment of pediatric intracranial aneurysm
    Liang, J; Bao, Y; Zhang, H; Wrede, KH; Zhi, X; Li, M; Ling, F
  • Characterization of perioperative seizures and epilepsy following aneurysmal subarachnoid hemorrhage
    Lin, CL; Dumont, AS; Lieu, AS; Yen, CP; Hwang, SL; Kwan, AL; Kassell, NF; Howng, SL
  • Treatment of pediatric traumatic intracranial pseudoaneurysm using endovascular covered stent: three case reports
    Liu, P; Yang, M; Cai, M; Qin, J; Pan, L
  • Endovascular treatment of a large ruptured middle cerebral artery bifurcation aneurysm in a 5-week-old infant: case report
    Lyon, KA; Arrey, EN; Haider, AS; Jeevan, DS; Benardete, EA
  • The significance of pseudoaneurysms in the nonoperative management of pediatric blunt splenic trauma
    Martin, K; Vanhouwelingen, L; Butter, A
  • Clinical and radiological profiles and outcomes in pediatric patients with intracranial aneurysms
    Mehrotra, A; Nair, AP; Das, KK; Srivastava, A; Sahu, RN; Kumar, R
  • Treatment of pediatric patient with ruptured intracranial aneurysm—case report
    Meljnikov, I; Vulekovic, P; Cigic, T; Borisev, V; Milojevic, A; Iduski, S
  • Cerebral aneurysms in childhood and adolescence
    Meyer, FB; Sundt, TM; Fode, NC; Morgan, MK; Forbes, GS; Mellinger, JF
  • A distal anterior cerebral artery aneurysm in infant: disappearance and reappearance of the aneurysm
    Motohashi, O; Kameyama, M; Imaizumi, S; Mino, M; Naganuma, H; Ishii, K; Onuma, T
  • Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report
    Nimjee, SM; Smith, TP; Kanter, RJ; Ames, W; Machovec, KA; Grant, GA; Zomorodi, AR
  • Unruptured anterior communicating artery aneurysms presenting with seizure: report of three cases and review of literature
    Patil, A; Menon, GR; Nair, S
  • Pediatric cerebral aneurysms
    Proust, F; Toussaint, P; Garnieri, J; Hannequin, D; Legars, D; Houtteville, JP; Freger, P
  • Traumatic distal anterior cerebral artery aneurysm in a child: a case report
    Raju, BS; Purohit, AK; Murthy, SR; Sundaram, C; Sanjay, T
  • Anticonvulsant prophylaxis and timing of seizures after aneurysmal subarachnoid hemorrhage
    Rhoney, DH; Tipps, LB; Murry, KR; Basham, MC; Michael, DB; Coplin, WM
  • Endovascular internal trapping of traumatic pericallosal pseudoaneurysm with hydrogel-coated self-expandable coil in a child: a case report
    Sim, SY; Shin, YS; Yoon, SH
  • Intracranial non-traumatic aneurysms in children and adolescents
    Sorteberg, A; Dahlberg, D
  • Trapping with high-flow bypass for a traumatic giant pseudoaneurysm of the supraclinoid carotid artery in an adolescent: case report
    Sun, L; Li, M; Zhang, H; Du, J; Ling, F
  • Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association
    Thompson, BG; Brown, RD; Amin-Hanjani, S; Broderick, JP; Cockroft, KM; Connolly, ES; Duckwiler, GR; Harris, CC; Howard, VJ; Johnston, SC; Meyers, PM; Molyneux, A; Ogilvy, CS; Ringer, AJ; Torner, J
  • Epileptic seizures due to cerebral artery aneurysm
    Ulahannan, TJ
  • Cerebral aneurysms in childhood
    Wojtacha, M; Bazowski, P; Mandera, M; Krawczyk, I; Rudnik, A
  • A spontaneous giant pseudoaneurysm presenting with chronic headache in adolescent
    Yi, HJ; Kim, KM; Ko, Y; Kim, YS; Oh, SJ; Oh, SH
  • Ruptured cerebral aneurysm in a 39-day-old infant
    Young, WF; Pattisapu, JV

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