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Characteristics and Treatment Outcome of Intracranial Aneurysms in Children and Adolescents
Journal of Korean Neurosurgical Society ; : 551-560, 2019.
Article in English | WPRIM | ID: wpr-788807
ABSTRACT

OBJECTIVE:

Intracranial aneurysms are not common in young age patients. We sought to find the characteristics of the intracranial aneurysms in patients under 20 years of age.

METHODS:

We reviewed 23 consecutive patients ≤20 years of age treated for their intracranial aneurysms during the period from 1995 to 2017. From medical records and imaging studies, we gathered data on age, sex, presentation, associated medical condition, location and characteristics of aneurysms, treatment and clinical outcomes.

RESULTS:

The patients’ ages ranged from 13 months to 20 years (median, 14 years). There were 16 males and seven females (male to female ratio, 2.3 1) with 31 aneurysms. Clinical presentations included sudden severe headache in 61%, followed by altered mentality in 17% and seizure in 17%. More than one-fourth patients had specific medical conditions related to the development of the cerebral aneurysms. The majority of aneurysms occurred in the anterior circulation (71%), and were saccular (71%). There were each three patients with false aneurysms (13%) and giant aneurysms (13%), and only one patient with multiple aneurysms (4%). We treated 22 patients 21 aneurysms with the endovascular methods, three with open surgery, and one with combined treatment. Good functional outcome could be achieved in 86% during the follow-up period.

CONCLUSION:

In this series, the young-age patients with intracranial aneurysms were characterized by male predominance, related specific medical conditions, low incidence of multiple aneurysms, high incidence of giant aneurysms and good functional outcome after treatment.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pediatrics / Seizures / Intracranial Aneurysm / Medical Records / Incidence / Risk Factors / Follow-Up Studies / Treatment Outcome / Aneurysm, False / Headache Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Child / Female / Humans / Male Language: English Journal: Journal of Korean Neurosurgical Society Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pediatrics / Seizures / Intracranial Aneurysm / Medical Records / Incidence / Risk Factors / Follow-Up Studies / Treatment Outcome / Aneurysm, False / Headache Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Child / Female / Humans / Male Language: English Journal: Journal of Korean Neurosurgical Society Year: 2019 Type: Article