Pediatric intracranial aneurysms: simple and complex cases.
Between 1984 and 1990, 20 aneurysms in 16 patients (9 males and 7 females), 18 years or younger (mean age, 8 years; range, 7 months to 18 years), were treated at our institution. Seven patients had a solitary saccular aneurysm located at an arterial bifurcation which manifested as a subarachnoid hemorrhage. Six of these patients were treated with clip obliteration. Postoperative results were excellent or good in 5 and fair in 1. Nine patients had complex or multiple aneurysms of variable origins (3 giant, 2 infectious, 2 traumatic and 2 associated with an arteriovenous malformation) and presentation. Surgical treatment of these children required the use of hypothermic arrest, trapping, bypass and anastomotic procedures. Outcome was excellent or good in 7 and fair in 2. An analysis of these patients with regard to pathogenesis and management is presented.
Herman
J M
JM
Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Ariz.
Rekate
H L
HL
Spetzler
R F
RF
D000293:Adolescent; D002533:Cerebral Angiography; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D002546:Ischemic Attack, Transient / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed