Cerebral aneurysms in childhood and adolescence

F. B. Meyer, T. M. Sundt, N. C. Fode, M. K. Morgan, G. S. Forbes, J. F. Mellinger

Research output: Contribution to journalReview article

174 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)420-425
Number of pages6
JournalJournal of neurosurgery
Volume70
Issue number3
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Meyer, F. B., Sundt, T. M., Fode, N. C., Morgan, M. K., Forbes, G. S., & Mellinger, J. F. (1989). Cerebral aneurysms in childhood and adolescence. Journal of neurosurgery, 70(3), 420-425. https://doi.org/10.3171/jns.1989.70.3.0420