Iatrogenic intracranial aneurysms in childhood: case-based update

Abstract

Iatrogenic aneurysm may have an unusual presentation and their therapy still remains unclear. Fusiform dilatation of internal carotid artery rarely causes symptoms and there is no published paper of subarachnoid bleeding. Treatment would be difficult, since the main arterial branches arise from the dilated carotid segment. Conservative treatment is a choice only if aneurysm has no progression or in case of spontaneous healing. Intervention should be performed only in case of progression or if the aneurysm becomes symptomatic.

Intracranial Saccular Aneurysm in a Child With Only Persistent Headache

“…6 Interestingly, in our patient, the aneurysm was located in the anterior circulation system, including the distal part of the anterior cerebral artery segment. 1 Fusiform aneurysms (21%) were more frequently diagnosed in children than in adults. 6 Conversely, in a sample of 28 patients, the median age was found to be 14 years, ranging from 5 to 18 years.…”

“…6 Interestingly, in our patient, the aneurysm was located in the anterior circulation system, including the distal part of the anterior cerebral artery segment. 1…”

“…The patients who determined brain aneurysms in the pediatric populations take part in less than 5% of all age groups. 1 The most common causes of intracranial aneurysms are infections and trauma. 2 When intracranial aneurysms was determined in a child, some systemic diseases such as connective-tissue disorders, autosomal dominant polycystic kidney disease, hereditary hemorrhagic telangiectasia, sicklecell disease, PHACES syndrome, syphilis, neurofibromatosis type1, Klippel-Trenaunay syndrome, tuberous sclerosis, fibromuscular hyperplasia, and Kawasaki disease should be considered.…”