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A long-term follow-up study of juvenile aneurysm patients

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Summary

The long-term outcome in 26 patients following operation of intracranial saccular aneurysms before the age of twenty is presented. The duration of follow-up ranged from 4 to 33 years (mean 14 years). The oldest patient is now 51 years old. 19 patients (73%) made a complete or good recovery with resumption of normal life. Only one patient was severely disabled and dependent for daily support. Aspects of social outcome such as working conditions and family relationships were encouraging. No association between presence of vasospasm in the acute phase of the disease and the long-term outcome was demonstrated. In one case rupture of a previously undetected aneurysm had occurred during the followed-up period.

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References

  1. Almeida, G. M., Pindaro, J., Plese, P., Bianco, E., Shibata, M. K., Intracranial arterial aneurysms in infancy and childhood. Childs Brain3 (1977), 193–199.

    Google Scholar 

  2. Artiola i Fortuny, L., Prieto-Valiente, L., Long-term outcome prognosis in surgically treated intracranial aneurysms, Part 1: Mortality. J. Neurosurg.54 (1981a), 26–34.

    Google Scholar 

  3. Artiola i Fortuny, L., Prieto-Valiente, L., Long-term outcome prognosis in surgically treated intracranial aneurysms, Part 2: Morbidity. J. Neurosurg.54 (1981b), 35–43.

    Google Scholar 

  4. Becker, D. H., Silverberg, G. D., Nelson, D. H., Hanberg, J. W., Saccular aneurysms of infancy and early childhood. Neurosurgery2 (1978), 1–6.

    Google Scholar 

  5. Bruce, D. A., Schut, L., Bruno, L. A., Wood, J. H., Sutton, L. N., Outcome following severe head injuries in children. J. Neurosurg.48 (1978), 679–688.

    Google Scholar 

  6. German, W. J., Black, S. P. W., Cervical ligation for internal carotid aneurysms. An extended follow-up. J. Neurosurg.23 (1965), 572–577.

    Google Scholar 

  7. Golden, G. S., Strokes in children and adolescents. Stroke9 (1978), 169–171.

    Google Scholar 

  8. Graf, C. J., Nibbelink, D. W., Cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Report on a randomized treatment study. III Intracranial surgery. Stroke5 (1974), 559–601.

    Google Scholar 

  9. Heiskanen, O., Vilkki, J., Intracranial arterial aneurysms in children and adolescents. Acta Neurochir. (Wien)59 (1981), 55–63.

    Google Scholar 

  10. Jennett, B., Bond, M., Assessment of outcome after severe brain damage. A practical scale. Lancet1 (1975), 480–484.

    Google Scholar 

  11. Jomin, M., Lesoin, F., Lozes, G., Prognosis with 500 ruptured and operated intracranial arterial aneurysms. Surg. Neurol.21 (1984), 13–18.

    Google Scholar 

  12. Kelly, J. J., Meelinger, J. F., Sundt, T. M., Jr., Intracranial arteriovenous malformations in childhood. Ann. Neurol.3 (1975), 338–343.

    Google Scholar 

  13. Klemme, W. M., Hemorrhage from a previously undemonstrated intracranial aneurysm as a late complication of carotid artery ligation. Case report. J. Neurosurg.46 (1977), 654–658.

    Google Scholar 

  14. Labarthe, D. R., Problems in definition of mild hypertension. In: Mild Hypertension: To Treat or not to Treat. Annals of the NY Academy of Sciences (Perry, H. M., McFate Smith, W., eds.), Vol. 304, pp. 3–14. New York: The New York Academy of Sciences. 1978.

    Google Scholar 

  15. Matson, D. D., Intracranial arterial aneurysm in childhood. J. Neurosurg.23 (1965), 578–583.

    Google Scholar 

  16. Narayan, R. K., Greenberg, R. P., Miller, D. J., Enas, G. G., Choi, S. C., Kishore, P. R. S., Selhorst, J. B., Lutz, H. A., Becker, D. P., Improved confidence of outcome in severe head injury. A comparative analysis of the clinical examination, multimodality evoked potentials, CT scanning, and intracranial pressure. J. Neurosurg.54 (1981), 751–762.

    Google Scholar 

  17. Patel, A. N., Richardson, A. E., Ruptured intracranial aneurysms in the first two decades of life. A study of 58 patients. J. Neurosurg.35 (1971), 571–576.

    Google Scholar 

  18. Schauseil-Zipf, F. T., Kellermann, K., Mandl-Kramer, S., auf der Haar, K., Intracranial arteriovenous malformations and aneurysms in childhood and adolescence. Eur. J. Pediatr.140 (1983), 260–267.

    Google Scholar 

  19. Sedzimir, C. B., Robinson, J., Intracranial hemorrhage in children and adolescents. J. Neurosurg.38 (1973), 269–281.

    Google Scholar 

  20. Teasdale, G., Skene, A., Parker, L., Jennett, B., Age and outcome of severe head injury. Acta Neurochir. (Wien) Suppl.28 (1979), 140–143.

    Google Scholar 

  21. Østergaard, J. R., Voldby, B., Intracranial aneurysms in children and adolescents. J. Neurosurg.58 (1983), 832–837.

    Google Scholar 

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Østergaard, J.R. A long-term follow-up study of juvenile aneurysm patients. Acta neurochir 77, 103–109 (1985). https://doi.org/10.1007/BF01476214

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