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Giant intracranial aneurysms in the paediatric population: Suggested management and a review of the literature

Abstract : Objectives Intracranial aneurysms are rare in children although giant aneurysms more commonly occur in adolescence. The aims of our study were to perform an extensive review of the literature over the past two decades and assess intracranial aneurysm management. Methods Based on a Pubmed search, we carried out a review of the literature from 1990 to 2012 regarding giant intracranial aneurysms diagnosed in the paediatric population. This descriptive study concerned clinical presentation, cerebral aneurysm characteristics, therapeutic management procedures and outcome. Results Forty-six cases were reported in 31 papers. The male/female sex ratio was 1.15, the clinical presentation was a tumour mass syndrome in 56.6%, followed by rupture in 30.4%. The aneurysm location was the posterior circulation in 41.3%, and microsurgical treatment (52.2%) predominated over endovascular coiling (28.3%). Conclusion To date, no evidence-based medicine recommendation has been accepted for the management of rare intracranial aneurysms. Each reported patient was the object of a multidisciplinary clinical decision. Management of this challenging pathology should be performed on a case-to-case basis.
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https://hal-normandie-univ.archives-ouvertes.fr/hal-02367783
Contributor : Hélène Castel <>
Submitted on : Monday, November 18, 2019 - 10:54:10 AM
Last modification on : Wednesday, September 16, 2020 - 3:27:02 AM

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A.-S. Pruvot, S. Curey, S. Derrey, Hélène Castel, François Proust. Giant intracranial aneurysms in the paediatric population: Suggested management and a review of the literature. Neurochirurgie, Elsevier Masson, 2016, 62 (1), pp.20-24. ⟨10.1016/j.neuchi.2013.06.004⟩. ⟨hal-02367783⟩

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