Intracranial Aneurysms in Childhood: Report of 8 Cases and Review of the Literature

Regelsberger, Jan; Heese, Oliver; Martens, Tobias; Ries, Thorsten; Kunkel, Paul; Westphal, Manfred

doi:10.1055/s-0028-1093353

Cited by 13 publications

(16 citation statements)

References 18 publications

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“…The combination of SAH and RH was reported in arteriovenous malformations by Regelsberger et al [30], while bleeding disorders, endocarditis, meningitis, septicemia, leukemia, galactosemia, hypertension and Henoch-Schö nlein purpura, in addition to child abuse cases have been listed by many authors [2,3,29]. RH has also been suggestive of a rotational acceleration injury by Gerber and Coffman [39].…”

Section: Discussionmentioning

confidence: 89%

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Traumatic dissection of the vertebral artery in a toddler following a short fall

Kristoffersen

Vetti

Morild

2012

Forensic Science International

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Section: Discussionmentioning

confidence: 89%

“…SAH following minor trauma resulting in dissection or rupture of a congenital intracranial, vertebral or spinal aneurysm, has also been described by several authors [3,[28][29][30][31][32][33][34][35]. In some series, aneurysms in the pediatric population represent approximately 1-3% of all aneurysms [6][7][8][9].…”

Section: Discussionmentioning

confidence: 94%

Traumatic dissection of the vertebral artery in a toddler following a short fall

Kristoffersen

Vetti

Morild

2012

Forensic Science International

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“…SAH is by far the most common symptom in the majority of pediatric intracranial aneurysm case series [2-9]. In recent clinical reviews by Sorteberg and Dahlberg [1], Regelsberger et al [10], and Huang et al [11], the average SAH presentation rates were reported as 72, 77, and 80%, respectively. The incidence of SAH caused by ruptured intracranial aneurysms in the pediatric population is slightly lower than that in the adult population, which has been reported as 89% [1].…”

Section: Discussionmentioning

confidence: 99%

“…For instance, they may present with mass effect-causing compression syndromes such as hemiparesis, cranial neuropathies, and endocrine disturbances, or they can present with the features of elevated intracranial pressure [2-5, 8, 10, 12]. Seizures can be the common symptom for both ruptured and unruptured aneurysms [2-5, 10, 12].…”

Section: Discussionmentioning

confidence: 99%

Acute Obstructive Hydrocephalus due to a Giant Posterior Cerebral Artery Aneurysm in a Pediatric Patient

et al. 2018

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Introduction: Intracranial aneurysms are very rare in children. Although subarachnoidal hemorrhage (SAH) is by far the most common presentation of aneurysms in the majority of the pediatric case series, it is not rare for an unruptured aneurysm to present with a mass effect. Acute hydrocephalus is a common finding following aneurysmal SAH. However, this malady may develop even in the absence of SAH but secondary to direct obstruction by a giant aneurysm. This situation is extremely rare in children, with only a few known case reports in the literature. Case Report: We report the case of a 10-year-old girl who presented with signs and symptoms of acute hydrocephalus; further radiological evaluation revealed obstructive hydrocephalus and a giant posterior cerebral artery aneurysm. Following endovascular treatment of the aneurysm, hydrocephalus was completely resolved, and the patient was symptom free. Conclusion: Although they are very rare, giant intracranial aneurysms must be kept in mind during the differential diagnosis of pediatric acute hydrocephalus cases. Hydrocephalus may resolve spontaneously after the successful treatment of these aneurysms.

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“…Among them, a lower frequency in children younger than 10 years was reported [1]. Posterior circulation aneurysms occur in 20-30% of cases, often presenting with complex forms [2]. Dissecting vertebrobasilar aneurysms (DVBAs) are more frequently observed in childhood than in adulthood [3].…”

Section: Introductionmentioning

confidence: 99%

Ruptured Dissecting Vertebrobasilar Aneurysm in Childhood: What Is the Therapeutic Strategy?

Rizzi

Benedictis²,

Marras³

et al. 2012

Pediatr Neurosurg

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Background/Aims: Pediatric aneurysms are rare, accounting for 0.5-4.6% of all intracranial aneurysms. Dissecting vertebrobasilar aneurysms (DVBA) are more frequently observed among children than adults. Cases acutely presenting with subarachnoid hemorrhage need a prompt treatment because of the higher mortality related to untreated cases. Options for an active DVBA management depend on the features of the malformation and include endovascular and surgical approaches. Methods: We refer to an 8-year-old healthy female, who presented with a sudden severe headache and vomit, followed by a half-hour loss of consciousness. A CT scan revealed subarachnoid hemorrhage, and brain MR angiography showed a lesion with mass effect on bulbar structures, suggestive of an aneurysm of the vertebrobasilar junction. The intracranial angiography confirmed this diagnosis and showed a relevant revascularization coming from the anterior cerebral circulation. Results: Endovascular treatment was considered as a suitable option and occlusion of both vertebral arteries, saving the left posterior inferior cerebellar artery, was performed. No neurological deficits appeared after embolization, and the patient was clinically stable at 18 months of follow-up. Conclusion: In the ‘stent era', parent vessel deconstruction throughout endovascular balloon or coil occlusion could be considered in patients with a sound collateral circulation and when cerebellar hemisphere and encephalic trunk feeding is not compromised.

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Intracranial Aneurysms in Childhood: Report of 8 Cases and Review of the Literature

Cited by 13 publications

References 18 publications

Traumatic dissection of the vertebral artery in a toddler following a short fall

Traumatic dissection of the vertebral artery in a toddler following a short fall

Acute Obstructive Hydrocephalus due to a Giant Posterior Cerebral Artery Aneurysm in a Pediatric Patient

Ruptured Dissecting Vertebrobasilar Aneurysm in Childhood: What Is the Therapeutic Strategy?

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