Pediatric Intracranial Aneurysms

Thrombosis and spontaneous recanalization of a giant intracranial aneurysm: diagnostic and management pearls in a pediatric patient

“…14,[17][18][19][20][21]24 Estimates regarding the per c entage of pediatric cerebral aneurysms that are giant (diameter ≥ 25 mm) range from 14% to 54%. [7][8][9][10] Pediatric cerebral aneurysms are most often found in the posterior circulation or the ICA bifurcation.…”

Rupture of a Giant Posterior Inferior Cerebellar Artery Aneurysm in an Infant Following a Ventriculoperitoneal Shunt. Case Report.

“…1,10,17,23,26) A large co-operative study reported only one patient with aneurysm under the age of 4 years among 6368 cases. 15) An autopsy study of over 8000 brains of children failed to find a single intracranial aneurysm.…”

“…1,10,17,26,28) Pediatric and adult aneurysms show several differences, but the evaluation and management is similar. We present a case of massive posterior inferior cerebellar artery (PICA) aneurysm in an infant manifesting as symptoms of a mass lesion, marked hydrocephalus, and aneurysm rupture following a shunt operation.…”

Arterial aneurysms of the brain at children

“…Â äîãåмîððàãèчåñ-êèé ïåðèîä ñïåöèфèчåñêèå ïðîяâëåíèя îòñóòñòâóюò, è òîëüêî ïðè íàëèчèè ãèãàíòñêèх АА âыяâëяюò ïðèзíàêè ñäàâëåíèя ïðèëåaeàщèх ñòðóêòóð мîзãà èëè èх ðàзäðàaeåíèå. Ó äåòåé хàðàêòåðíым ïðèзíà-êîм АА ãîëîâíîãî мîзãà ñчèòàюò эïèëåïòèчåñêèå ïðèïàäêè, â òî aeå âðåмя ãèïåðòåíзèâíых ïðîяâëå-íèé, êàê ïðàâèëî, íåò [21,29]. Тèïèчíыå ïðèзíàêè ñóбàðàхíîèäàëüíîãî êðîâîèзëèяíèя äëя äåòåé íå ñâîéñòâåííы.…”

“…Бîëüшèх ñåðèé íàбëюäåíèé эíäîâàñêóëяðíîãî ëåчåíèя АА ãîëîâíîãî мîзãà ó äåòåé ïðàêòèчåñêè íåò, â èмåющèхñя èññëåäîâàíèях ïîëîaeèòåëüíыé эффåêò îïåðàöèé â ðàííèå ñðîêè ïîñëå âîзíèêíîâåíèя ãå-мîððàãèè äîñòèãíóò ó 63% бîëüíых [19,23,29]. Бîëü-шèíñòâî àâòîðîâ ñâязыâàюò эòî ñ мåíåå òяaeåëым ñîñòîяíèåм ïàöèåíòîâ ïåðåä îïåðàöèåé è мåíüшåé âыðàaeåííîñòüю àíãèîñïàзмà ó äåòåé [18,29].…”