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

173 Citations (Scopus)

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
StatePublished - 1989

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Intracranial Aneurysm
Aneurysm
Vascular Malformations
Subarachnoid Hemorrhage
Observation

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

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.

Cerebral aneurysms in childhood and adolescence. / Meyer, F. B.; Sundt, T. M.; Fode, N. C.; Morgan, M. K.; Forbes, G. S.; Mellinger, J. F.

In: Journal of Neurosurgery, Vol. 70, No. 3, 1989, p. 420-425.

Research output: Contribution to journalReview article

Meyer, FB, Sundt, TM, Fode, NC, Morgan, MK, Forbes, GS & Mellinger, JF 1989, 'Cerebral aneurysms in childhood and adolescence', Journal of Neurosurgery, vol. 70, no. 3, pp. 420-425.
Meyer FB, Sundt TM, Fode NC, Morgan MK, Forbes GS, Mellinger JF. Cerebral aneurysms in childhood and adolescence. Journal of Neurosurgery. 1989;70(3):420-425.
Meyer, F. B. ; Sundt, T. M. ; Fode, N. C. ; Morgan, M. K. ; Forbes, G. S. ; Mellinger, J. F. / Cerebral aneurysms in childhood and adolescence. In: Journal of Neurosurgery. 1989 ; Vol. 70, No. 3. pp. 420-425.
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AU - Sundt, T. M.

AU - Fode, N. C.

AU - Morgan, M. K.

AU - Forbes, G. S.

AU - Mellinger, J. F.

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