Cerebral aneurysms in children: are we talking about a single pathological entity?
OBJECTIVE
The objective of this article is to highlight the fact that cerebral aneurysms in children are heterogeneous unlike in the adult population.


METHODS
This is a retrospective review of 17 children with intracranial aneurysms who were managed at a single institution from 2004 to 2009.


RESULTS
The median age was 12 years (range 10 months-17 years). Sixty-five percent of the aneurysms were saccular and 24% were fusiform. There was one infectious and one distal lenticulostriate aneurysm. Patients with saccular aneurysms were predominantly male and presented more commonly with intracranial hemorrhage (91%). The fusiform aneurysms were dissecting in nature or chronic with intramural thrombus and mass effect. The treatment was dependent upon the type and location of the aneurysm.


CONCLUSIONS
Pedriatic aneurysms are a heterogeneous group of intracranial arterial diseases with different etiologies, diverse morphology, and dissimilar clinical manifestations.
Requejo
Flavio
F
National Pedriatic Hospital J. P. Garrahan, Buenos Aires, Argentina. frequejo@intramed.net
Ceciliano
Alejandro
A
Cardenas
Rolando
R
Villasante
Francisco
F
Jaimovich
Roberto
R
Zuccaro
Graciela
G
D000293:Adolescent; D000367:Age Factors; D000784:Aortic Dissection / Q000150:complications / Q000473:pathology*; D000785:Aneurysm, Infected / Q000150:complications / Q000473:pathology*; D020144:Basal Ganglia Cerebrovascular Disease / Q000150:complications / Q000473:pathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D002532:Intracranial Aneurysm / Q000150:complications / Q000473:pathology*; D020767:Intracranial Thrombosis / Q000209:etiology; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013345:Subarachnoid Hemorrhage / Q000209:etiology