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Pediatrics
Diagnosis
Brain
Traumatic and Vascular Lesions
Childhood Aneurysms
Childhood Aneurysms
Luke L. Linscott, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Focal arterial outpouching or dilation presenting < 18 years

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Angiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. Garrido E et al: Intracranial aneurysms in pediatric population: a two-center audit. Childs Nerv Syst. 37(8):2567-75, 2021
                                  2. Xu R et al: Epidemiology and outcomes of pediatric intracranial aneurysms: comparison with an adult population in a 30-year, prospective database. J Neurosurg Pediatr. 1-10, 2021
                                  3. Amelot A et al: Long-term outcomes of cerebral aneurysms in children. Pediatrics. 143(6), 2019
                                  4. Bisson DA et al: Unruptured intracranial aneurysms in children: 18 years' experience in a tertiary care pediatric institution. J Neurosurg Pediatr. 1-6, 2019
                                  5. Chihi M et al: Intracranial aneurysms in patients with tuberous sclerosis complex: a systematic review. J Neurosurg Pediatr. 1-10, 2019
                                  6. Chen R et al: Pediatric intracranial pseudoaneurysms: a report of 15 cases and review of the literature. World Neurosurg. 116:e951-9, 2018
                                  7. Ghali MGZ et al: Pediatric intracranial aneurysms: considerations and recommendations for follow-up imaging. World Neurosurg. 109:418-31, 2018
                                  8. Alawi A et al: Treatment of cerebral aneurysms in children: analysis of the Kids' Inpatient Database. J Neurosurg Pediatr. 14(1):23-30, 2014
                                  9. Asaithambi G et al: Patterns of treatment and associated short-term outcomes of unruptured intracranial aneurysms in children. Childs Nerv Syst. 30(10):1697-700, 2014
                                  10. Garg K et al: Pediatric intracranial aneurysms---our experience and review of literature. Childs Nerv Syst. 30(5):873-83, 2014
                                  11. Gemmete JJ et al: Pediatric cerebral aneurysms. Neuroimaging Clin N Am. 23(4):771-9, 2013
                                  12. Koroknay-Pál P et al: De novo and recurrent aneurysms in pediatric patients with cerebral aneurysms. Stroke. 44(5):1436-9, 2013
                                  13. Vasan R et al: Pediatric intracranial aneurysms: current national trends in patient management and treatment. Childs Nerv Syst. 29(3):451-6, 2013
                                  14. Aeron G et al: Clinical and imaging features of intracranial arterial aneurysms in the pediatric population. Radiographics. 32(3):667-81, 2012
                                  15. Koroknay-Pál P et al: Long-term outcome of 114 children with cerebral aneurysms. J Neurosurg Pediatr. 9(6):636-45, 2012
                                  16. Mehrotra A et al: Clinical and radiological profiles and outcomes in pediatric patients with intracranial aneurysms. J Neurosurg Pediatr. 10(4):340-6, 2012
                                  17. Saraf R et al: Intracranial pediatric aneurysms: endovascular treatment and its outcome. J Neurosurg Pediatr. 10(3):230-40, 2012
                                  18. Hetts SW et al: Pediatric intracranial aneurysms: new and enlarging aneurysms after index aneurysm treatment or observation. AJNR Am J Neuroradiol. 32(11):2017-22, 2011
                                  19. Jian BJ et al: Pediatric intracranial aneurysms. Neurosurg Clin N Am. 21(3):491-501, 2010
                                  20. Hetts SW et al: Intracranial aneurysms in childhood: 27-year single-institution experience. AJNR Am J Neuroradiol. 30(7):1315-24, 2009
                                  21. Fasulakis S et al: Comparison of MR angiography and conventional angiography in the investigation of intracranial arteriovenous malformations and aneurysms in children. Pediatr Radiol. 33(6):378-84, 2003
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Definitions

                                            • Focal arterial outpouching or dilation presenting < 18 years

                                          IMAGING

                                          • General Features

                                            • CT Findings

                                              • MR Findings

                                                • Angiographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • Staging, Grading, & Classification

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Consider

                                                                  Selected References

                                                                  1. Garrido E et al: Intracranial aneurysms in pediatric population: a two-center audit. Childs Nerv Syst. 37(8):2567-75, 2021
                                                                  2. Xu R et al: Epidemiology and outcomes of pediatric intracranial aneurysms: comparison with an adult population in a 30-year, prospective database. J Neurosurg Pediatr. 1-10, 2021
                                                                  3. Amelot A et al: Long-term outcomes of cerebral aneurysms in children. Pediatrics. 143(6), 2019
                                                                  4. Bisson DA et al: Unruptured intracranial aneurysms in children: 18 years' experience in a tertiary care pediatric institution. J Neurosurg Pediatr. 1-6, 2019
                                                                  5. Chihi M et al: Intracranial aneurysms in patients with tuberous sclerosis complex: a systematic review. J Neurosurg Pediatr. 1-10, 2019
                                                                  6. Chen R et al: Pediatric intracranial pseudoaneurysms: a report of 15 cases and review of the literature. World Neurosurg. 116:e951-9, 2018
                                                                  7. Ghali MGZ et al: Pediatric intracranial aneurysms: considerations and recommendations for follow-up imaging. World Neurosurg. 109:418-31, 2018
                                                                  8. Alawi A et al: Treatment of cerebral aneurysms in children: analysis of the Kids' Inpatient Database. J Neurosurg Pediatr. 14(1):23-30, 2014
                                                                  9. Asaithambi G et al: Patterns of treatment and associated short-term outcomes of unruptured intracranial aneurysms in children. Childs Nerv Syst. 30(10):1697-700, 2014
                                                                  10. Garg K et al: Pediatric intracranial aneurysms---our experience and review of literature. Childs Nerv Syst. 30(5):873-83, 2014
                                                                  11. Gemmete JJ et al: Pediatric cerebral aneurysms. Neuroimaging Clin N Am. 23(4):771-9, 2013
                                                                  12. Koroknay-Pál P et al: De novo and recurrent aneurysms in pediatric patients with cerebral aneurysms. Stroke. 44(5):1436-9, 2013
                                                                  13. Vasan R et al: Pediatric intracranial aneurysms: current national trends in patient management and treatment. Childs Nerv Syst. 29(3):451-6, 2013
                                                                  14. Aeron G et al: Clinical and imaging features of intracranial arterial aneurysms in the pediatric population. Radiographics. 32(3):667-81, 2012
                                                                  15. Koroknay-Pál P et al: Long-term outcome of 114 children with cerebral aneurysms. J Neurosurg Pediatr. 9(6):636-45, 2012
                                                                  16. Mehrotra A et al: Clinical and radiological profiles and outcomes in pediatric patients with intracranial aneurysms. J Neurosurg Pediatr. 10(4):340-6, 2012
                                                                  17. Saraf R et al: Intracranial pediatric aneurysms: endovascular treatment and its outcome. J Neurosurg Pediatr. 10(3):230-40, 2012
                                                                  18. Hetts SW et al: Pediatric intracranial aneurysms: new and enlarging aneurysms after index aneurysm treatment or observation. AJNR Am J Neuroradiol. 32(11):2017-22, 2011
                                                                  19. Jian BJ et al: Pediatric intracranial aneurysms. Neurosurg Clin N Am. 21(3):491-501, 2010
                                                                  20. Hetts SW et al: Intracranial aneurysms in childhood: 27-year single-institution experience. AJNR Am J Neuroradiol. 30(7):1315-24, 2009
                                                                  21. Fasulakis S et al: Comparison of MR angiography and conventional angiography in the investigation of intracranial arteriovenous malformations and aneurysms in children. Pediatr Radiol. 33(6):378-84, 2003