Paediatric intracranial aneurysms: a British institutional review

Slator, Naomi; Talibi, Sayed Samed; Mundil, Nilesh; Thomas, Allan; Lamin, Saleh; Walsh, Richard; Rodrigues, Desiderio; Solanki, Guirish A.

doi:10.1007/s00381-019-04159-3

Cited by 16 publications

(13 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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 ]…”

Section: Discussionmentioning

confidence: 99%

“…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 ]…”

Section: Discussionmentioning

confidence: 99%

“…Cerebral vasospasm was one of the complications causing disability in SAH after ruptured ICA. The risk of cerebral vasospasm in pediatric ruptured ICA varied from 9.4 %–14.3 % [ 4 , 11 ] to 23 % [ 5 ], lowered than in adult (81 %), with less severe symptoms. Our center used the same treatment regimen for cerebral vasospasm as Heffren et al [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Ngo

Chu

Nguyen

2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Ngo

Chu

Nguyen

2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Given the more varied aetiology of ICAs in children compared to adults, there is also a difference in characteristics of the aneurysm in the general paediatric population. The mean aneurysm size is smaller and more frequently located in the middle cerebral artery; however, there are significantly more ‘giant’ aneurysms (> 25 mm) which tend to be found in the posterior circulation [ 29 – 32 ]. This highlights the unique nature of paediatric aneurysms and how we cannot simply generalise adult findings to the paediatric population.…”

Section: Ica In Children With Adpkdmentioning

confidence: 99%

Should we screen for intracranial aneurysms in children with autosomal dominant polycystic kidney disease?

Walker

Marlais

2022

Pediatr Nephrol

View full text Add to dashboard Cite

This is an overview of the challenges associated with screening for asymptomatic intracranial aneurysms (ICA) in children with autosomal dominant polycystic kidney disease (ADPKD). ADPKD is the most common inherited kidney disease affecting 1 in 1,000 people. ICAs are an extra-kidney manifestation of ADPKD, and while the exact pathophysiology of how they develop is unknown, we know that they more commonly occur in the adult rather than paediatric population. ICAs can be found in up to 9–11.5% of adults with ADPKD, but ICA rupture remains a rare event in adults with an incidence of 0.04 per 100 patient years. ICA size is an important factor in determining the risk of aneurysm rupture and therefore affects the decision on intervention in asymptomatic adults. For some, unruptured aneurysms cause no clinical significance, but those that rupture can be associated with devastating morbidity and mortality. Therefore, if detected, the treatment for unruptured ICAs is usually endovascular coiling, alongside recognising the importance of preventative interventions such as hypertension management. There are, however, no current guidelines for either adult or paediatric patients with ADPKD supporting regular screening for asymptomatic ICAs, although there is a suggestion for individualised practice, for example, with those with a positive family history. The UK clinical guidelines for ADPKD in children make research recommendations due to a lack of published literature, which in itself indicates that ICA rupture is an extremely rare phenomenon in children.

show abstract

“…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%