Cargando…
Intracranial Non-traumatic Aneurysms in Children and Adolescents
An intracranial aneurysm in a child or adolescent is a rare, but potentially devastating condition. As little as approximately 1200 cases are reported between 1939 and 2011, with many of the reports presenting diverting results. There is consensus, though, in that pediatric aneurysms represent a pat...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bentham Science Publishers
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970571/ https://www.ncbi.nlm.nih.gov/pubmed/24696670 http://dx.doi.org/10.2174/221155281120100005 |
_version_ | 1782309395545194496 |
---|---|
author | Sorteberg, Angelika Dahlberg, Daniel |
author_facet | Sorteberg, Angelika Dahlberg, Daniel |
author_sort | Sorteberg, Angelika |
collection | PubMed |
description | An intracranial aneurysm in a child or adolescent is a rare, but potentially devastating condition. As little as approximately 1200 cases are reported between 1939 and 2011, with many of the reports presenting diverting results. There is consensus, though, in that pediatric aneurysms represent a pathophysiological entity different from their adult counterparts. In children, there is a male predominance. About two-thirds of pediatric intracranial aneurysms become symptomatic with hemorrhage and the rate of re-hemorrhage is higher than in adults. The rate of hemorrhage from an intracranial aneurysm peaks in girls around menarche. The most common aneurysm site in children is the internal carotid artery, in particular at its terminal ending. Aneurysms in the posterior circulation are more common in children than adults. Children more often develop giant aneurysms, and may become symptomatic from the mass effect of the aneurysm (tumorlike symptoms). The more complex nature of pediatric aneurysms poses a larger challenge to treatment alongside with higher demands to the durability of treatment. Outcome and mortality are similar in children and adults, but long-term outcome in the pediatric population is influenced by the high rate of aneurysm recurrences and de novo formation of intracranial aneurysms. This urges the need for life-long follow-up and screening protocols. |
format | Online Article Text |
id | pubmed-3970571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Bentham Science Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-39705712014-03-31 Intracranial Non-traumatic Aneurysms in Children and Adolescents Sorteberg, Angelika Dahlberg, Daniel Curr Pediatr Rev Article An intracranial aneurysm in a child or adolescent is a rare, but potentially devastating condition. As little as approximately 1200 cases are reported between 1939 and 2011, with many of the reports presenting diverting results. There is consensus, though, in that pediatric aneurysms represent a pathophysiological entity different from their adult counterparts. In children, there is a male predominance. About two-thirds of pediatric intracranial aneurysms become symptomatic with hemorrhage and the rate of re-hemorrhage is higher than in adults. The rate of hemorrhage from an intracranial aneurysm peaks in girls around menarche. The most common aneurysm site in children is the internal carotid artery, in particular at its terminal ending. Aneurysms in the posterior circulation are more common in children than adults. Children more often develop giant aneurysms, and may become symptomatic from the mass effect of the aneurysm (tumorlike symptoms). The more complex nature of pediatric aneurysms poses a larger challenge to treatment alongside with higher demands to the durability of treatment. Outcome and mortality are similar in children and adults, but long-term outcome in the pediatric population is influenced by the high rate of aneurysm recurrences and de novo formation of intracranial aneurysms. This urges the need for life-long follow-up and screening protocols. Bentham Science Publishers 2013-11 2013-11 /pmc/articles/PMC3970571/ /pubmed/24696670 http://dx.doi.org/10.2174/221155281120100005 Text en © 2012 Bentham Science Publishers http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Article Sorteberg, Angelika Dahlberg, Daniel Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title | Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title_full | Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title_fullStr | Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title_full_unstemmed | Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title_short | Intracranial Non-traumatic Aneurysms in Children and Adolescents |
title_sort | intracranial non-traumatic aneurysms in children and adolescents |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970571/ https://www.ncbi.nlm.nih.gov/pubmed/24696670 http://dx.doi.org/10.2174/221155281120100005 |
work_keys_str_mv | AT sortebergangelika intracranialnontraumaticaneurysmsinchildrenandadolescents AT dahlbergdaniel intracranialnontraumaticaneurysmsinchildrenandadolescents |