Pediatric intracranial distal arterial aneurysms: report of 35 cases

Abstract

PIDAAs constitute a high proportion of pediatric intracranial aneurysms. PIDAAs are associated with an increased risk of seizures, a predilection for the MCA, and a high incidence of pseudoaneurysms with head trauma history. Surgical intervention is of greater benefit than endovascular treatment in controlling the risk of seizures.

Characteristics and Treatment Outcome of Intracranial Aneurysms in Children and Adolescents

“…Seizure accounted for 17%. Seizure is known to be twice frequent in pediatric aneurysm patients than in adults [1,6,11,16,23]. In children, clinicians should be cautious in its evaluation [11,15,26].…”

“…The bypass patency seems to be maintained well although there can be concerns related to the physical growth of children [18]. Compared to adult population, pediatric patients have shown good functional status after treatment [6,11,12,16,19,23,24,27,30,31,35].…”

“…The cerebral aneurysms in children are rare, and account for the frequency of 0.5% to 4.6% in large aneurysm series [27]. Pediatric cerebral aneurysms have different characteristics from adult aneurysms in terms of demographic parameters, aneurysmal size, morphology, location, etiology, and outcome [1,3,6,11,12,15,16,19,22-24,27,30,31,35]. Nowadays, the detection rate of cerebral aneurysms has increased because of imaging technique development [12].…”

Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby

“…1 Male predominance, location in posterior circulation, traumatic etiology, dissecting/fusiform morphology, and giant size are some features of these lesions in children. [2][3][4][5][6] Noninvasive diagnostic tools such as computed tomographic angiography (CTA) and magnetic resonance angiography are routinely used to assess the morphology and etiology of these lesions. However, digital subtraction angiography (DSA) still remains as the gold standard procedure.…”

Onyx Embolization of a Distal Middle Cerebral Artery Pseudoaneurysm in a Five-Week-Old: A Case Report and Review of Current Treatment Options

“…In the pediatric population, pseudoaneurysms represent 33% of all intracranial aneurysms [7]. In the current literature, there are 16 reported cases of middle cerebral artery (MCA) pseudoaneurysms in the pediatric population, three of which are in infants (5 weeks to 12 months of age) [1,8,9].…”