Pediatric Radiology

, Volume 34, Issue 1, pp 16–23 | Cite as

Surgical management of paediatric stroke

Mini-symposium: Stroke in Children

Abstract

Childhood cerebrovascular disease is characterised by a wide range of relatively rare conditions. The management of a selection of some of the more frequently encountered, complex conditions is reviewed. The key to achieving the optimal therapeutic strategy for the individual child is multidisciplinary team management within a specialist neurovascular team. Access to rehabilitation is crucial.

Keywords

Brain Arteries Aneurysm AVM Haemorrhage Ischaemia/infarction Children 

References

  1. 1.
    Johnston I, Whittle I, Besser M, et al (1987) Vein of Galen malformation: diagnosis and management. Neurosurgery 20:747–758PubMedGoogle Scholar
  2. 2.
    Padget D (1956) The cranial venous system in man with references to development, adult configuration, and relation to arteries. Am J Anat 98:307–355PubMedGoogle Scholar
  3. 3.
    Raybaud CA, Strother CM, Hald JK (1989) Aneurysms of the vein of Galen: embryonic considerations and anatomical features relating to the pathogenesis of the malformation. Neuroradiology 31:109–128PubMedGoogle Scholar
  4. 4.
    Gold A, Ransohoff J, Carter S (1964) Vein of Galen malformation. Acta Neurol Scand 11 [Suppl]:5–31Google Scholar
  5. 5.
    Silverman B, Brekzt T, Craig J, et al (1959) Congestive failure in the newborn caused by cerebral arteriovenous fistula. Am J Dis Child 89:539–543Google Scholar
  6. 6.
    Norman M, Becker L (1974) Cerebral damage in neonates resulting from arteriovenous malformation of vein of Galen. J Neurol Neurosurg Psychiatry 37:252–258PubMedGoogle Scholar
  7. 7.
    Berenstein A, Lasjaunias P (1992) Endovascular treatment of cerebral intracranial lesions. In: Berenstein A, Lasjaunias P (eds) Surgical neuroangiography. Springer, Berlin Heidelberg New YorkGoogle Scholar
  8. 8.
    Zerah M, Garcia-Monaco R, Rodesch G, et al (1992) Hydrodynamics in vein of Galen malformation. Childs Nerv Syst 8:111–117PubMedGoogle Scholar
  9. 9.
    Lasjaunias P (1997) Vascular diseases in neonates, infants and children. Springer, Berlin Heidelberg New YorkGoogle Scholar
  10. 10.
    Lasjaunias P, Alvarez H, Rodesch G, et al (1996) Aneurysmal malformation of the vein of Galen; follow-up of 120 children treated between 1984 and 1994. Intervent Neuroradiol 2:15–26Google Scholar
  11. 11.
    Hourihan M, Gates P, McAllister V (1984) Subarachnoid hemorrhage in childhood and adolescence. J Neurosurg 60:1163–1166PubMedGoogle Scholar
  12. 12.
    Humphreys R, Hoffman H, Drake J (1996) Choices in the 90s for the management of pediatric cerebrovascular malformations. Pediatr Neurosurg 25:277–285PubMedGoogle Scholar
  13. 13.
    Leblanc R, Feindel W, Ethier R (1983) Epilepsy from cerebral arteriovenous malformations. Can J Neurol Sci 10:91–95PubMedGoogle Scholar
  14. 14.
    Gerosa MA, Cappellotto P, Licata C, et al (1981) Cerebral arteriovenous malformations in children. Childs Brain 8:356–371PubMedGoogle Scholar
  15. 15.
    Nataf F, Schlienger M, Lefkopoulos D, et al (2003) Radiosurgery of cerebral arteriovenous malformations in children: a series of 57 cases. Int J Radiat Oncol Biol Phys 57:184–195CrossRefPubMedGoogle Scholar
  16. 16.
    Tanaka T, Kobayashi T, Kida Y, et al (1995) The comparison between adult and pediatric AVMs treated by gamma knife radiosurgery. No Shinkei Geka 23:773–777PubMedGoogle Scholar
  17. 17.
    Khoo L, Levy M (1999) Intracerebral aneurysms. In: Albright A, Pollack I, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 973–1001Google Scholar
  18. 18.
    McLellan NJ, Prasad R, Punt J (1986) Spontaneous subhyaloid and retinal haemorrhages in an infant. Arch Dis Child 61:1130–1132PubMedGoogle Scholar
  19. 19.
    Jaspan T, Griffiths PD, McConachie NS, et al (2003) Neuroimaging for non-accidental head injury in childhood: a proposed protocol. Clin Radiol 58:44–53CrossRefPubMedGoogle Scholar
  20. 20.
    Molyneux A, Kerr R, Stratton I, et al (2002) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360:1267–1274CrossRefPubMedGoogle Scholar
  21. 21.
    Awad I, Barrow D (1993) Cavernous malformations. American Association of Neurological Surgeons, Park Ridge, IllGoogle Scholar
  22. 22.
    Kondziolka D, Lunsford LD, Flickinger J, et al (1995) Reduction of hemorrhage risk after stereotactic radiosurgery for cavernous malformations. J Neurosurg 83:825–831PubMedGoogle Scholar
  23. 23.
    Kurokawa T, Chen Y, Tomita S, et al (1985) Cerebrovascular occlusive disease with or without the moyamoya vascular network in children. Neuropediatrics 16:29–32PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.NottinghamUK

Personalised recommendations