title: Extracranial to intracranial bypass for the treatment of cerebral aneurysms in the pediatric population.
abstract: Cerebral aneurysms are rare in the pediatric population, making a definitive treatment algorithm difficult. Microsurgical clipping is the first choice for treatment but is not always feasible, while high recurrence rates and radiation exposure make endovascular options less favorable. Extracranial-intracranial (EC-IC) bypass, though not commonly performed in the pediatric aneurysm population, has been reported in a small number of studies to be both safe and effective for the management of cerebral aneurysms. The authors present the case of a child with a distal middle cerebral artery (MCA) aneurysm in eloquent territory, successfully treated with a superficial temporal artery (STA) to MCA bypass and trapping. A review of the current literature on pediatric EC-IC bypass in the treatment of intracranial aneurysms is presented.
authors.affiliation: Department of Neurosurgery, The Keck School of Medicine of the University of Southern California, 1200 N State Street, Suite 3300, Los Angeles, CA 90033, USA.
authors.forename: Ben A
authors.initials: BA
authors.lastname: Strickland
authors.affiliation: Department of Neurosurgery, The Keck School of Medicine of the University of Southern California, 1200 N State Street, Suite 3300, Los Angeles, CA 90033, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Attenello
authors.affiliation: Department of Neurosurgery, The Keck School of Medicine of the University of Southern California, 1200 N State Street, Suite 3300, Los Angeles, CA 90033, USA; Neurorestoration Center, University of Southern California, Los Angeles, CA, USA. Electronic address: jonathan.russin@med.usc.edu.
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Russin
mesh_terms: D002548:Cerebral Revascularization / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D020768:Middle Cerebral Artery / Q000601:surgery*
keywords: Aneurysm; Bypass; Extracranial (EC)–intracranial (IC); Pediatric; Revascularization