title: Superficial temporal artery-middle cerebral artery bypass surgery in a pediatric giant intracranial aneurysm presenting as migraine-like episodes.
abstract: BACKGROUND
  Aneurysms of the intracranial arteries in the pediatric population are reportedly rare. There is a male predominance, association with connective tissue disorders, as well as bacterial, mycotic infections, and trauma.
  
  
  CONCLUSIONS
  Common sites of presentation are the internal carotid artery bifurcation, posterior circulation, and distal segment of middle cerebral artery. Clinical manifestations can vary from seizures and subarachnoidal hemorrhage to headache, irritability, lethargy, vomiting, or focal motor deficits. Current treatment modalities encompass endovascular or surgical approach.
  
  
  CONCLUSIONS
  We present a case report on an 11-year-old girl with migraine-like episodes due to an underlying giant fusiform middle cerebral artery aneurysm treated successfully with two superficial temporal artery-middle cerebral artery bypasses.
authors.affiliation: Department of Neurology, Elisabeth Hospital Tilburg, Tilburg, The Netherlands.
authors.forename: H S
authors.initials: HS
authors.lastname: Goedee
authors.forename: P R A M
authors.initials: PR
authors.lastname: Depauw
authors.forename: B
authors.initials: B
authors.lastname: vd Zwam
authors.forename: A H
authors.initials: AH
authors.lastname: Temmink
mesh_terms: D002548:Cerebral Revascularization / Q000379:methods; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D020768:Middle Cerebral Artery / Q000473:pathology / Q000601:surgery*; D008881:Migraine Disorders / Q000175:diagnosis* / Q000209:etiology; D013699:Temporal Arteries / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome