ArticleAJNR. American journal of neuroradiology2009
Intracranial aneurysms in childhood: 27-year single-institution experience.
Article in AJNR. American journal of neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.
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Who cites it
58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.
- Treatment of pediatric intracranial aneurysms: institutional case series and systematic literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Pooled it
- Rupture risk and outcomes of giant aneurysms in pediatric patients: a multi-institutional case series and systematic review.Journal of neurosurgery. Pediatrics · 2024Pooled it
- Posttraumatic cerebrovascular injuries in children. A systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Pooled it
- MR imaging of partially thrombosed cerebral aneurysms: characteristics and evolution.AJNR. American journal of neuroradiology · 2011Trial
- Pediatric cerebral aneurysms: long-term outcomes from a single-center case series and a narrative review of the contemporary literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Review
- Article
- Beyond endovascular limits: open surgical management of bilateral giant petrocavernous internal carotid artery aneurysms in a pediatric patient.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Intracranial mycotic aneurysms in pediatric patients: A systematic review.Surgical neurology international · 2026Review
- Survival of a 2-month-old infant after clipping of ruptured middle cerebral artery aneurysm: A case report and review of the literature.Surgical neurology international · 2026Article
- Successful Use of Flow Diversion for Aneurysm Treatment in a 12-Month-Old Child.Stroke (Hoboken, N.J.) · 2025Article
- Unveiling diagnostic challenges and therapeutic triumphs: endovascular management of a paediatric internal carotid artery pseudoaneurysm-a case report.European heart journal. Case reports · 2025Article
- Influence of age and comorbidity on the frequency of complications of surgical treatment of unruptured intracranial aneurysms.Neurosurgical review · 2025Observational
- Endovascular therapeutic occlusion of major cerebral arteries in children.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- A complication of recurrent artery of Heubner infarction after resection of a giant thrombotic aneurysm in the anterior cerebral artery A2 segment: case report.Journal of surgical case reports · 2024Article
- Analyzing the safety and efficacy of pipeline embolization device in pediatric aneurysms: insight from a mul-ticenter cohort and pooled analysis.Acta neurochirurgica · 2024Article
- Newly formed and ruptured infectious intracranial aneurysm in few days following first intracranial aneurysm embolization concurrent with middle cerebral artery occlusion: A regrettable case in a baby child.Pediatric discovery · 2024Article
- Risk factors of rupture and mortality for intracranial aneurysms associated with moyamoya disease: a multicenter retrospective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Parry-Romberg Syndrome and an Associated Complex Vascular Lesion Managed With Hybrid Strategies: A Case Report.Neurosurgery practice · 2024Article
- Pediatric brain aneurysms: a review of 1458 brain MR angiograms.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Large saccular intracranial aneurysm in a child with RASA1-associated capillary malformation-arteriovenous malformation syndrome: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePediatric aneurysms are rare and, thus, relatively poorly understood as compared to those in adults. Our aim was to characterize the clinical, imaging, treatment, and outcome data of patients younger than 19 years diagnosed with intracranial aneurysms at a tertiary care institution. MATERIALS AND
methodsWe performed a retrospective medical record review of pediatric patients examined at our university hospital between 1981 and 2008.
resultsWe evaluated 77 patients (mean age, 12 years; 40 female, 37 male) with 103 intracranial aneurysms. Patients presented with headache (45%), cranial neuropathies (16%), nausea/vomiting (15%), vision changes (13%), trauma (13%), seizure (4%), or sensory changes (3%). Subarachnoid hemorrhage occurred in 25 patients. Thirty-one fusiform aneurysms occurred in 25 patients. Forty-seven saccular aneurysms occurred in 35 patients. Twelve infectious aneurysms occurred in 6 patients. Fifteen traumatic aneurysms occurred in 12 patients. Fifty-nine patients underwent treatment of their aneurysms; 18 patients' conditions were managed conservatively. Nineteen patients underwent primary endovascular coiling, 1 patient had endovascular stent-assisted coiling, 11 patients underwent endovascular parent artery occlusion, 19 patients underwent surgical clipping, and 10 patients had aneurysms trapped and bypassed. Mortality was 1.3%. Morbidity included 8% infarction and 4% new-onset seizures. Six patients developed new aneurysms or had enlargement of untreated aneurysms.
conclusionsIn our experience, intracranial aneurysms of childhood show a female predilection and predominantly saccular morphology. In neurovascular centers where microneurosurgical and endovascular options are available, most children with intracranial aneurysms can be successfully treated with low morbidity and mortality. Fusiform aneurysms require a combined microneurosurgical and endovascular approach more often than saccular aneurysms. The development of new aneurysms in pediatric patients during limited follow-up warrants further investigation.
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