Pediatric intracranial aneurysms-our experience and review of literature

被引:63
作者
Garg, Kanwaljeet [1 ]
Singh, Pankaj Kumar [1 ]
Sharma, Bhawani Shankar [1 ]
Chandra, Poodipedi Sarat [1 ]
Suri, Ashish [1 ]
Singh, Manmohanjit [1 ]
Kumar, Rajinder [1 ]
Kale, Shashank Sarad [1 ]
Mishra, Nalin Kumar [1 ]
Gaikwad, Shailesh K. [1 ]
Mahapatra, Ashok Kumar [2 ]
机构
[1] All India Inst Med Sci, Cardioneuro Ctr, Dept Neurosurg, New Delhi, India
[2] All India Inst Med Sci, Bhubaneswar, Orissa, India
关键词
Intracranial aneurysm; Pediatric; Outcome; Subarachnoid hemorrhage; CEREBRAL ANEURYSMS; ARTERIAL ANEURYSMS; CLINICAL ARTICLE; CHILDHOOD; CHILDREN; POPULATION; ADOLESCENCE; MANAGEMENT; OUTCOMES;
D O I
10.1007/s00381-013-2336-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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. All children (a parts per thousand currency sign18 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. 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. 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.
引用
收藏
页码:873 / 883
页数:11
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