Pediatric cerebral aneurysms: a report of 9 cases

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dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.contributor.authorTatli, M.
dc.contributor.authorGuzel, A.
dc.contributor.authorKilincer, C.
dc.contributor.authorGoksel, H. M.
dc.date.accessioned2024-06-12T10:56:04Z
dc.date.available2024-06-12T10:56:04Z
dc.date.issued2008
dc.departmentTrakya Üniversitesien_US
dc.description9th International Conference on Cerebral Vasospasm -- JUN 27-30, 2006 -- Istanbul, TURKEYen_US
dc.description.abstractBackground. Intracranial aneurysms are rare in children, constituting less than 2% of all cerebral aneurysms. Relative to their adult Counterparts, published series are few and case numbers are small. Method. Nine children (5 males and 4 females, ages 13-18 years old) are reported. These patients constituted 6% of a total of 150 cerebral aneurysm cases treated at our institution over a 12-year period. Findings. Eight patients presented with subarachnoid haemorrhage; one patient's aneurysm was identified incidentally after head trauma. All but one of the patients were in good clinical grade (Hunt and Hess grades I to III). Aneurysm locations were: internal carotid artery (ICA) (5 cases), anterior communicating artery (2 cases), anterior cerebral artery (1 case) and vertebrobasilar junction (1 case). A giant (ICA bifurcation) aneurysm and bilateral ICA bifurcation aneurysms were each observed in one patient. Angiographic vasospasm was detected in three patients. Clinical deterioration attributable to vasospasm was observed in one of them. Seven patients underwent craniotomy, and aneurysms were clipped succesfully. One patient underwent endovascular coiling for a vertebrobasilar junction aneurysm. One patient died due to rebleeding before surgery on the second day of her initial haemorrhage. The 6-month Glasgow Outcome Score was 5 in seven patients and 4 in one patient. Conclusions. Our treatment regimen for pediatric aneurysms is similar to that used in adults, and consists of surgical clipping as the mainstay of treatment, with endovascular techniques reserved for selected cases. With the exception of one patient who died due to early rebleeding, this regimen resulted in good clinical outcomes.en_US
dc.identifier.endpage+en_US
dc.identifier.isbn978-3-211-75717-8
dc.identifier.issn0065-1419
dc.identifier.scopus2-s2.0-77957602109en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage411en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19662
dc.identifier.volume104en_US
dc.identifier.wosWOS:000256013000086en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Wienen_US
dc.relation.ispartofCerebral Vasospasm: New Strategies In Research And Treatmenten_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebral Vascular Anomalyen_US
dc.subjectPediatric Aneurysmsen_US
dc.subjectTreatmenten_US
dc.subjectVasospasmen_US
dc.subjectIntracranial Arterial Aneurysmsen_US
dc.subjectSubarachnoid Hemorrhageen_US
dc.subjectEndovascular Treatmenten_US
dc.subjectSaccular Aneurysmen_US
dc.subjectAge-Groupen_US
dc.subjectFenestrationen_US
dc.subjectChildhooden_US
dc.subjectChildrenen_US
dc.subjectPopulationen_US
dc.subjectManagementen_US
dc.titlePediatric cerebral aneurysms: a report of 9 casesen_US
dc.typeConference Objecten_US

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