title: Pediatric intracranial aneurysms--our experience and review of literature.
abstract: OBJECTIVE
  Intracranial aneurysms in children are not as common as in adults and there are many differences in the etiology, demographic variables, aneurysm location, aneurysm morphological characteristics, clinical presentation, and outcome in pediatric and adult intracranial aneurysms.
  
  
  METHODS
  All children (≤18 years) suffering from intracranial aneurysm managed at our center from July 2001 through June 2013 were included in the study, and the details of these patients were retrieved from the computerized database of our hospital.
  
  
  METHODS
  A total of 62 pediatric patients were treated for 74 aneurysms during the study period and constituted 2.3% of all intracranial aneurysms treated during the same period. The mean age at presentation was 13.5 years. Headache (82%) was the commonest presenting feature; other symptoms included seizures (21%), ictal loss of consciousness (27%), and motor/cranial nerve deficits (22.6%). Computed tomogram revealed subarachnoid hemorrhage in 58% of patients. Eighty-two percent of aneurysms were in anterior circulation. Sixty-seven percent of aneurysms were complex aneurysms. Fifty-eight percent of patients underwent surgical intervention while 30% underwent endovascular procedures. Twenty-one percent of the patients developed vasospasm. There was no postoperative mortality. Favorable outcome was seen in 72% of the patients.
  
  
  CONCLUSIONS
  Pediatric intracranial aneurysms are uncommon as compared to in adult patients. Seizures and cranial nerve involvement are seen more often as the presenting features in children. Posterior circulation aneurysms are more common in children, as are the internal carotid artery bifurcation aneurysms. There is high incidence of giant, posttraumatic, and mycotic aneurysms in children.
authors: Department of Neurosurgery, Cardio-Neuro Centre, All India Institute of Medical Sciences, Room No 720, New Delhi, India.
authors: Kanwaljeet
authors: K
authors: Garg
authors: Pankaj Kumar
authors: PK
authors: Singh
authors: Bhawani Shankar
authors: BS
authors: Sharma
authors: Poodipedi Sarat
authors: PS
authors: Chandra
authors: Ashish
authors: A
authors: Suri
authors: Manmohanjit
authors: M
authors: Singh
authors: Rajinder
authors: R
authors: Kumar
authors: Shashank Sarad
authors: SS
authors: Kale
authors: Nalin Kumar
authors: NK
authors: Mishra
authors: Shailesh K
authors: SK
authors: Gaikwad
authors: Ashok Kumar
authors: AK
authors: Mahapatra
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D003389:Cranial Nerve Diseases / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D007223:Infant; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D010372:Pediatrics; D012640:Seizures / Q000209:etiology; D015898:Tomography Scanners, X-Ray Computed; D016896:Treatment Outcome