Cerebral aneurysms in childhood and adolescence.

Abstract:

:In this study, 24 aneurysms occurring in 23 patients under the age of 18 years (mean 12 years) are analyzed. The male:female ratio was 2.8:1, and the youngest patient was 3 months old. Mycotic lesions and those associated with other vascular malformations were excluded. Forty-two percent of the aneurysms were located in the posterior circulation, and 54% were giant aneurysms. Presenting symptoms included subarachnoid hemorrhage in 13 and mass effect in 11. Several of these aneurysms were documented to rapidly increase in size over a 3-month to 2-year period of observation. All aneurysms were surgically treated: direct clipping was performed in 14; trapping with bypass in four; trapping alone in four; and direct excision with end-to-end anastomosis in two. The postoperative results were excellent in 21 aneurysms (87%), good in two (8%), and poor in one. The pathogenesis of cerebral aneurysms is reviewed.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Meyer FB,Sundt TM Jr,Fode NC,Morgan MK,Forbes GS,Mellinger JF

doi

10.3171/jns.1989.70.3.0420

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

420-5

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

70

pub_type

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