Is the Mayfield Head Holder Obligatory for Intracranial Aneurysm Clipping?

Demartini, Zeferino; Gatto, Luana Antunes Maranha; Rocha, Tatiane Coghetto da; Maeda, Adriano Keijiro; Valerio, Adriana; Koppe, Gelson Luis; Francisco, Alexandre Novicki

doi:10.1159/000491825

Cited by 2 publications

References 16 publications

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Pediatric intracranial aneurysms in a Southern Brazilian population

et al. 2023

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Introduction: Aneurysms are rare in the pediatric population and its diagnosis can be challenging. They differ from their adult counterparts in several aspects, and hemorrhage is the most frequent presentation.Objective: To evaluate clinical data, aneurysms characteristics and therapeutic results in a series of patients <18 years of age with intracranial aneurysms.Method: A retrospective cross-sectional observational study design through the analysis of medical records and imaging studies. Analyzed data included age, sex, presentation, comorbidities, aneurysmal characteristics, treatment modality and clinical outcomes.Results: 15 intracranial aneurysms were identi ed in 11 patients (6 male), with ages ranging from 3 months to 15 years (mean 5.2 years). Five patients had associated medical conditions, and hemorrhage was the most frequent clinical presentation (45%). Three patients (27%) had multiple aneurysms, and 7 aneurysms were fusiform or dysplastic. The internal carotid artery was the most affected site, occurring in 47% of cases. Aneurysm size ranged from 2 mm to 60 mm (mean 16.8 mm), with giant aneurysms in 27%. Seven patients were treated via endovascular procedures and three aneurysms were clipped. Symptomatic vasospasm requiring angioplasty occurred in two patients. One patient died due to severe aspiration pneumonia and sepsis that precluded treatment. Good functional outcome (mRS < 2) was achieved in all patients submitted to treatment (91%). Conclusion:The patients with aneurysms in this series were characterized by hemorrhagic presentation, mild male predominance, and internal carotid artery involvement. The outcome of treated patients was favorable, regardless of the treatment modality.Compliance with Ethical Standards: The study was approved by the Ethics Committee of Hospital Pequeno Principe. It was performed in accordance with the ICMJE Recommendations for the Protection of Research Participants. Written informed consent for publication of data and images was provided and signed by the patient's surrogates. All patients' identi cations were removed to preserve anonymity.Con ict of Interest Statement: The authors declare no con icts of interest.

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Pediatric intracranial aneurysms in a Southern Brazilian population

et al. 2023

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Intracranial Aneurysms in the Pediatric Population: Case Series

Demart

Pardins

Koppe

et al. 2022

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Introduction: Aneurysms are rare in the pediatric population and its diagnosis can be challenging. They differ from their adult counterparts in several aspects, and hemorrhage is the most frequent presentation. Objective: To evaluate clinical data, aneurysms characteristics and therapeutic results in a series of patients <18 years of age with intracranial aneurysms. Method: A retrospective cross-sectional observational study design through the analysis of medical records and imaging studies. Analyzed data included age, sex, presentation, comorbidities, aneurysmal characteristics, treatment modality and clinical outcomes. Results: 15 intracranial aneurysms were identified in 11 patients (6 male), with ages ranging from 3 months to 15 years (mean 5.2 years). Five patients had associated medical conditions, and hemorrhage was the most frequent clinical presentation (45%). Three patients (27%) had multiple aneurysms, and 7 aneurysms were fusiform or dysplastic. The internal carotid artery was the most affected site, occurring in 47% of cases. Aneurysm size ranged from 2 mm to 60 mm (mean 16.8 mm), with giant aneurysms in 27%. Seven patients were treated via endovascular procedures and three aneurysms were clipped. Symptomatic vasospasm requiring angioplasty occurred in two patients. One patient died due to severe aspiration pneumonia and sepsis that precluded treatment. Good functional outcome (mRS < 2) was achieved in all patients submitted to treatment (91%). Conclusion: The patients with aneurysms in this series were characterized by hemorrhagic presentation, mild male predominance, and internal carotid artery involvement. The outcome of treated patients was favorable, regardless of the treatment modality.

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Is the Mayfield Head Holder Obligatory for Intracranial Aneurysm Clipping?

Cited by 2 publications

References 16 publications

Pediatric intracranial aneurysms in a Southern Brazilian population

Pediatric intracranial aneurysms in a Southern Brazilian population

Intracranial Aneurysms in the Pediatric Population: Case Series

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