Treatment of pediatric intracranial aneurysms: case series and meta-analysis

Yasin, Junaid; Wallace, Adam N.; Madaelil, Thomas P; Osbun, Joshua W.; Moran, Christopher J.; Cross, DeWitte T.; Limbrick, David D.; Zipfel, Gregory J.; Dacey, Ralph G.; Kansagra, Akash P.

doi:10.1136/neurintsurg-2018-014001

Cited by 37 publications

(32 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a recent meta-analysis has shown a more favourable outcome after EVT, there is no statistically significant difference on a long-term course between both treatments. 18 The rate of favourable outcome was 88.3% after EVT and 82.7% after surgery. In daily practice, physicians usually adopt treatment guidelines for adults and generalize them to the treatment of paediatric patients.…”

Section: Clinical Aspectsmentioning

confidence: 91%

“…These injuries result in a pseudo-aneurysm or can be dissecting in nature and require adapted treatment. 17,18 Infectious arterial aneurysms account for 15% of all paediatric intracranial aneurysms. These are most often of bacterial origin, more rarely of mycotic origin.…”

Section: Paediatric Intracranial Aneurysmsmentioning

confidence: 99%

“…Thanks to progress in imaging techniques, incidental intracranial aneurysms are also frequent and have been reported in almost 20% of cases. 12,[17][18][19] Treatments Over the past 20 years, EVT has been established as the first-line treatment of intracranial aneurysms. The choice between surgery and EVT must be made by a multidisciplinary team to offer the best therapeutic option.…”

Section: Clinical Aspectsmentioning

confidence: 99%

See 2 more Smart Citations

Endovascular treatment of intracranial vascular malformations in children

Lubicz

Christiaens

2020

Develop Med Child Neuro

View full text Add to dashboard Cite

Paediatric intracranial vascular malformations are rare and different from adult ones in vascular anatomy, pathophysiology, and symptoms. Their impact on the brain and their symptoms will differ in the antenatal period, in neonates, infants, and children. Clinical presentation includes seizures, focal neurological deficit, haemorrhage, congestive heart failure, hydrovenous disorder, and developmental delays. These malformations are thus associated with a poor prognosis if left untreated. Therefore, aggressive management is generally recommended and must be performed by a multidisciplinary team with extensive experience. Endovascular treatment is the first‐choice treatment for most paediatric intracranial vascular malformations. Indication and timing for treatment should be decided on the basis of a careful assessment of neurological symptoms, growth and development, cardiac and other systemic manifestations, and imaging of the malformation and the brain tissue. What this paper adds Paediatric intracranial vascular malformations are rare, but their prognosis is poor if left untreated. Improved clinical, anatomical, and pathophysiological understanding of these complex lesions has improved prognosis.

show abstract

Section: Clinical Aspectsmentioning

confidence: 91%

Section: Paediatric Intracranial Aneurysmsmentioning

confidence: 99%

Section: Clinical Aspectsmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular treatment of intracranial vascular malformations in children

Lubicz

Christiaens

2020

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…Aneurysm morphology and complexity, as well as other therapeutic considerations such as patient size and contrast limits, are potentially complicating factors. In their case series and meta-analysis, Yasin et al review more than 600 pediatric intracranial aneurysms and report comparable long-term clinical outcomes in patients treated either endovascularly or microsurgically 9. Outcomes for ruptured and unruptured aneurysms were also equivalent between the two treatment modalities.…”

mentioning

confidence: 99%

A Rolling Stone

Albuquerque

2019

J NeuroIntervent Surg

View full text Add to dashboard Cite

“…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].…”

mentioning

confidence: 99%