Clinical Characteristics of Pediatric Cerebral Aneurysms / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
;
: 193-197, 2007.
Article
in English
| WPRIM
| ID: wpr-34800
ABSTRACT
OBJECTIVE:
The aim of this study was to define the clinical characteristics of pediatric cerebral aneurysms.METHODS:
During the past 30 years, among a total of 3,330 patients treated for cerebral aneurysms, 12 patients were under the age of 18. The authors reviewed the database and imaging studies as sources for identification and analysis.RESULTS:
Seven patients were male and 5 were female. The mean age was 12.9 years old (range 3~18). Nine patients had ruptured lesions and the remaining 3 had unruptured lesions. Four patients presented with a subarachnoid hemorrhage, and the other 5 patients presented with an intracerebral hemorrhage (ICH). Five aneurysms were located at the posterior cerebral artery or vertebrobasilar artery, 4 at the middle cerebral artery, and 3 at the internal carotid artery, respectively. The giant aneurysm was observed in 2 (18%) patients. Eleven aneurysms were saccular, and 1 was serpentine in shape. No patient had multiple aneurysms. Rebleeding was observed in 3 cases (33%). No child suffered from clinical vasospasm. All but one patient showed a favorable outcome (good 11, dead 1).CONCLUSIONS:
Pediatric cerebral aneurysms in this study showed a male predominance, a high incidence of presentation with ICH, a location on the distal circulation of the major arteries or on the posterior circulation, and a large or giant aneurysm, high rebleeding rate and a low incidence of vasospasm. The overall clinical outcome was excellent in 91.7% in this study. With the knowledge of these features, aneurysmal obliteration and active brain resuscitation can improve the clinical outcome and prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Prognosis
/
Resuscitation
/
Subarachnoid Hemorrhage
/
Brain
/
Carotid Artery, Internal
/
Intracranial Aneurysm
/
Cerebral Hemorrhage
/
Incidence
/
Middle Cerebral Artery
Type of study:
Incidence study
/
Prognostic study
Limits:
Child
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Cerebrovascular Surgery
Year:
2007
Type:
Article
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