Aneurysms in childhood: literature review and cases description

Authors

  • Daniel Gregório Gonsalves Faculty of Medicine of Catanduva, Department of Medicine, Catanduva, São Paulo, Brazil https://orcid.org/0000-0002-0658-4700
  • Manuela Guedes Pereira Faculty of Medicine of Catanduva, Department of Medicine, Catanduva, São Paulo, Brazil https://orcid.org/0000-0002-7421-2829
  • Pedro Henrique Simm Pires de Aguiar Pontifical Catholic University of São Paulo School of Medical and Health Sciences, Department of Medicine, Sorocaba, Brazil https://orcid.org/0000-0002-4010-7617
  • Fernanda Lopes Rocha Cobucci Faculty of Medicine of ABC, Department of Medicine, Santo André, São Paulo, Brazil https://orcid.org/0000-0003-2202-6722
  • Marcelo Ughini Crusius Institute of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil https://orcid.org/0000-0002-1495-3959
  • Roberto Alexandre Dezena Division of Neurosurgery, Federal University of Triangulo Mineiro, Uberaba, MG, Brazil https://orcid.org/0000-0003-4062-577X
  • Paulo Henrique Pires de Aguiar Department of Neurosurgery, Santa Paula Hospital, São Paulo, Brazil; Department of Research and Innovation, Laboratory of Cellular and Molecular Biology, Faculty of Medicine of ABC, Santo André, São Paulo, Brazil; Department of Neurology, School of Medicine of Pontifical Catholic University of São Paulo, Sorocaba, São Paulo, Brazil https://orcid.org/0000-0002-9059-4978

DOI:

https://doi.org/10.46900/apn.v4i2(May-August).142

Keywords:

aneurysm, cerebral, child

Abstract

Introduction: In the aneurysm disease, children aneurysms do not represent a majority of the diagnosis. Associated conditions should be monitored, including aortic coarctation, polycystic kidney disease, fibromuscular dysplasia, tuberous sclerosis, Ehlers-Danlos syndrome, and Marfan syndrome. They can present as congenital, infectious, or traumatic. Case report: We describe a series of five cases of aneurysms in patients ranging from 15 to 17 years of age whose aneurysms were found on examination. In most cases, patients were asymptomatic and did not have predisposing syndromes. Surgery was the treatment of choice in all cases. No patient had a recurrence in the following years of radiographic follow-up. Methodology: This is a literature review and case series analysis with a narrative-descriptive approach. The database for the search was PubMed®, which were used to search for articles with the subject descriptors brain, aneurysms, pediatric and child. Between the descriptors, the boolean operator and was used.  Discussion: Aneurysms can be classified by their size and morphology, as well as having a predilection for anterior circulation. The most common symptom observed in our pediatric series of 5 patients was migraine or chronic headache (60%), followed by asymptomatic patients  (40%). Three of five patients (60%) in this study were previously hypertensive without other comorbidity, while 40% of the cases were totally healthy. Conclusion: Pediatric intracranial aneurysms are relatively rare diseases, corresponding to 1.6 to 7% of intracranial aneurysms across all age groups. They require accurate and detailed diagnosis, which need to be assessed and managed in a multidisciplinary team. 

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Published

2022-05-09

How to Cite

1.
Gonsalves DG, Pereira MG, de Aguiar PHSP, Cobucci FLR, Crusius MU, Dezena RA, de Aguiar PHP. Aneurysms in childhood: literature review and cases description. Arch Pediat Neurosurg [Internet]. 2022 May 9 [cited 2022 May 17];4(2(May-August):e1422022. Available from: https://archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/142

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