机构：[1]Cerebrovascular Diseases Research Institute, Capital Medical University, 45 Changchun Street, Beijing 100053, China[2]Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, 45 Changchun Street, Beijing 100053, China神经外科首都医科大学宣武医院[3]International Neuroscience Institute, Hannover, Germany
Intracranial aneurysms are relatively rare in the pediatric population. The objective of this study was to highlight the clinical and radiological features and the therapeutic outcome and clarify the choice of therapeutic strategies for pediatric intracranial aneurysms. Twenty-four consecutive children (age a parts per thousand currency sign14 years) who were diagnosed and treated for intracranial aneurysms in our institute in the last 23 years were included in this study. There were nine (36%) patients with posterior circulation aneurysms and eight (32%) with giant aneurysms. Eleven (46%) patients presented with subarachnoid hemorrhage. Fifteen patients underwent endovascular treatment, and four received microsurgical therapy. Five patients were treated conservatively. Ninety-two percent (n = 22) of the patients showed favorable outcomes. Pediatric intracranial aneurysms differ in many ways from those in adults: male predominance; high incidence of giant, dissecting, and fusiform aneurysms; high incidence of aneurysms in the posterior circulation; high incidence of spontaneous thrombosis; better Hunt-Hess grades at presentation; and better therapeutic outcome. For children with intracranial aneurysms, both microsurgical approaches and endovascular treatment were effective. For many complex aneurysms, endovascular therapy was the best choice.
第一作者机构：[1]Cerebrovascular Diseases Research Institute, Capital Medical University, 45 Changchun Street, Beijing 100053, China[2]Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, 45 Changchun Street, Beijing 100053, China
通讯作者：
通讯机构：[1]Cerebrovascular Diseases Research Institute, Capital Medical University, 45 Changchun Street, Beijing 100053, China
推荐引用方式(GB/T 7714)：
Jiantao Liang,Yuhai Bao,Hongqi Zhang,et al.The clinical features and treatment of pediatric intracranial aneurysm[J].CHILDS NERVOUS SYSTEM.2009,25(3):317-324.doi:10.1007/s00381-008-0725-2.
APA：
Jiantao Liang,Yuhai Bao,Hongqi Zhang,Karsten Henning Wrede,Xinglong Zhi...&Feng Ling.(2009).The clinical features and treatment of pediatric intracranial aneurysm.CHILDS NERVOUS SYSTEM,25,(3)
MLA：
Jiantao Liang,et al."The clinical features and treatment of pediatric intracranial aneurysm".CHILDS NERVOUS SYSTEM 25..3(2009):317-324
