Pediatric Intracranial Aneurysms: Favorable Outcomes Despite Rareness and Complexity

Microsurgery for a ruptured intracranial aneurysm in a 3-year-old child: A case report

“…The most common clinical presentation was headache (61 %–75 %) [ 8 , 9 ], followed by Loss of conciousness (LOC) (49 %); seizures (35 %), and limb weak (16 %) [ 8 ].…”

“…The incidence of ruptured IAs at time of diagnosis range from 55 %–87 % [ [7] , [8] , [9] , [10] , [11] ], while 26 % of patients suffered from rebleeding before diagnosis/ treatment [ 3 ]…”

“…Koroknay-Pal et al reported that 7 children in 114 cases had risk factors associated with intracranial aneurysms [ 3 ]. This rate was varied, as 0 in 22 case [ 11 ] or 27 % [ 9 ]. Lasjaunias et al reported that in 59 cases of patients under 15 year olds, 5 of them had familial diseases [ 12 ]…”

“…Endovascular treatment had been utilized widely in pediatric intracranial treatment. The rate of utilizing endovascular treatment compared to surgery from 2000 to 2015 has increased as reported by Beez et al Yasin et al (2019) reported that in 57 cases, endovascular treatment rate was 44 %, surgery was 23 % (the other 33 % of cases patients received conservative treatment [ 9 ]. In a meta-analysis report with 560 cases of pediatric intracranial aneurysm, Yasin et al figured out that there was no significant difference in long-term result of these two treatment methods [ 9 ].…”

Intracranial aneurysm and subarachnoid hemorrhage in a 4-years-old patient

“…Here we present a case of 4-years-old girl with sudden headache and seizures, with CT-scan showing subarachnoid hemorrhage and angio-CTwith anterior communicating complex aneurysm. Our choice was microsurgical clipping and outcome was very good[1][2][3][4][5].…”