Skip to main content

Advertisement

SpringerLink
Log in

Intracranial aneurysms in children under 1 year of age: a systematic review of the literature

  • Invited Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Objective

Intracranial aneurysms are very rare in early childhood. Because the location, morphology as well as the clinical and radiological presentation of these aneurysms seem to be different from those in adults, we performed a systematic review of the literature to discuss the clinical, morphological, and radiological features of intracranial aneurysms in the first year of life.

Materials and methods

A computerized search of both Pubmed and EMBASE from before 1966 to 2005 was performed. Included were all articles that dealt with cases in which an intracranial aneurysm was demonstrated in children under 1 year of age.

Results

We found 110 articles in which 131 cases of an intracranial aneurysm in children under 1 year were presented. The mean age at diagnosis of the aneurysm was 4.9±3.5 months with a male to female ratio of 1.1. There was a hemorrhagic presentation in 73% (n=96). The patients presenting with a hemorrhage were younger (mean 4.3 vs 6.7 months, P<0.001) and tended to have smaller-sized (i.e.<2.5 cm) aneurysms (P=0.07). The aneurysm was defined as traumatic or infectious in 15 and 13 cases, respectively. In 21% (n=27), there was various vascular or congenital co-morbidity. In 76%, the aneurysm was located in the anterior circulation. The prevalence of aneurysms on the middle cerebral artery (MCA) was nearly three times higher than on any other vessel. The mean aneurysm size was 1.8±1.4 cm, with 30 giant aneurysms (>2.5 cm). The giant aneurysms were significantly more often located in the posterior circulation (43 vs 16%, P=0.01). The mean period of follow-up was 13.6±24.8 months. The Glasgow Outcome Scale (GOS) could be derived in 106 cases: 50% had an excellent outcome (GOS of 5).

Conclusions

The presentation of arterial aneurysms in children under the age of 1 year differs from that in adults with a significantly higher prevalence of giant aneurysms in the posterior circulation. The prevalence of aneurysms on the MCA is nearly three times higher than on any other vessel. The patients presenting with a hemorrhage were younger and tended to have smaller-sized aneurysms. Our study did not confirm the male predominance that has thus far been associated with pediatric aneurysms. The outcome is comparable or slightly better than in adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Locksley HB (1966) Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 25:219–239

    PubMed  CAS  Google Scholar 

  2. Nishioka H (1966) Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VII. I. Evaluation of the conservative management of ruptured intracranial aneurysms. J Neurosurg 25:574–592

    PubMed  CAS  Google Scholar 

  3. Patel AN, Richardson AE (1971) Ruptured intracranial aneurysms in the first two decades of life. A study of 58 patients. J Neurosurg 35:571–576

    PubMed  CAS  Google Scholar 

  4. Pollo C, Meagher-Villmure K, Bernath MA et al (2004) Ruptured cerebral aneurysm in the early stage of life—a congenital origin? Neuropediatrics 35:230–233

    Article  PubMed  CAS  Google Scholar 

  5. Proust F, Toussaint P, Garnieri J et al (2001) Pediatric cerebral aneurysms. J Neurosurg 94:733–739

    PubMed  CAS  Google Scholar 

  6. Orozco M, Trigueros F, Quintana F et al (1978) Intracranial aneurysms in early childhood. Surg Neurol 9:247–252

    PubMed  CAS  Google Scholar 

  7. Norris JS, Wallace MC (1998) Pediatric intracranial aneurysms. Neurosurg Clin N Am 9:557–563

    PubMed  CAS  Google Scholar 

  8. Laughlin S, terBrugge KG, Willinsky RA et al (1997) Endovascular management of paediatric intracranial aneurysms. Interv Neuroradiol 3:205–214

    CAS  PubMed  Google Scholar 

  9. Humphreys RP, Pirouzmand F (2004) Arteriovenous malformations and intracranial aneurysms in children. In: Winn HR, Dacey RG (eds) Youmans neurological surgery. Saunders, Philadelphia, pp 3447–3459

    Google Scholar 

  10. Hulsmann S, Moskopp D, Wassmann H (1998) Management of a ruptured cerebral aneurysm in infancy. Report of a case of a ten-month-old boy. Neurosurg Rev 21:161–166

    Article  PubMed  CAS  Google Scholar 

  11. Roche JL, Choux M, Czorny A et al (1988) Intracranial arterial aneurysm in children. A cooperative study. Apropos of 43 cases. Neurochirurgie 34:243–251

    PubMed  CAS  Google Scholar 

  12. Elgamal EA, Murshid WR, Abu-Rahma HM et al (2004) Aneurysmal subarachnoid hemorrhage in the first year of life: case report and review of the literature. Childs Nerv Syst 20:489–493

    Article  PubMed  Google Scholar 

  13. Tekkök IH (2005) Aneurysmal subarachnoid haemorrhage in the first year of life. Childs Nerv Syst 21(5):347–348

    Article  PubMed  Google Scholar 

  14. McLone DG, Marlin AE, Scott RM et al (2001) Pediatric neurosurgery: surgery of the developing nervous system. Saunders, Philadelphia

    Google Scholar 

  15. Winn HR, Dacey RG (2004) Youmans neurological surgery. Saunders, Philadelphia

    Google Scholar 

  16. Lasjaunias P, terBrugge KG (1997) Vascular diseases in neonates, infants, and children: interventional neuroradiology management. Springer, Berlin Heidelberg New York

    Google Scholar 

  17. Berenstein A, Lasjaunias P, terBrugge KG (2004) Surgical neuroangiography: 2.1. Clinical and endovascular treatment aspects in adults. Springer, Berlin Heidelberg New York

    Google Scholar 

  18. Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet 1:480–484

    Article  PubMed  CAS  Google Scholar 

  19. Pool JL, Potts DG, Maki Y (1967) On the cases with abnormal vascular network in the cerebral basal region in the United States. In: Kudo T (eds) A disease with abnormal intracranial vascular network—spontaneous occlusion of the circle of Willis. Igako Shoin, Tokyo, pp 63–68

    Google Scholar 

  20. Ferrante L, Fortuna A, Celli P et al (1988) Intracranial arterial aneurysms in early childhood. Surg Neurol 29:39–56

    Article  PubMed  CAS  Google Scholar 

  21. Sarwar M, Batnitzky S, Schechter MM (1976) Tumours aneurysms. Neuroradiology 12:79–97

    Article  PubMed  CAS  Google Scholar 

  22. Mazza C, Pasqualin A, Da Pian R et al (1986) Intracranial aneurysms and subarachnoid hemorrhage in children and adolescents. Minerva Med 77:1145–1151

    PubMed  CAS  Google Scholar 

  23. Herman JM, Rekate HL, Spetzler RF (1991) Pediatric intracranial aneurysms: simple and complex cases. Pediatr Neurosurg 17:66–72

    PubMed  Google Scholar 

  24. Amacher AL, Drake CG (1979) The results of operating upon cerebral aneurysms and angiomas in children and adolescents. I. Cerebral aneurysms. Childs Brain 5:151–165

    PubMed  CAS  Google Scholar 

  25. Nonaka N, Yokata A, Matsukado Y (1979) Intracranial arterial aneurysm in infancy and childhood (author’s translation). Nerv Syst Child (Kobe) 4:65–72

    Google Scholar 

  26. Tekkök IH, Ventureyra EC (1997) Spontaneous intracranial hemorrhage of structural origin during the first year of life. Childs Nerv Syst 13:154–165

    Article  PubMed  Google Scholar 

  27. Lasjaunias P, Wuppalapati S, Alvarez H et al (2005) Intracranial aneurysms in children aged under 15 years: review of 59 consecutive children with 75 aneurysms. Childs Nerv Syst 21:437–450

    Article  PubMed  Google Scholar 

  28. Huang J, McGirt MJ, Gailloud P et al (2005) Intracranial aneurysms in the pediatric population: case series and literature review. Surg Neurol 63:424–432

    Article  PubMed  Google Scholar 

  29. Amacher LA, Drake CG (1975) Cerebral artery aneurysms in infancy, childhood and adolescence. Childs Brain 1:72–80

    PubMed  CAS  Google Scholar 

  30. Lee KS, Liu SS, Spetzler RF et al (1990) Intracranial mycotic aneurysm in an infant: report of a case. Neurosurgery 26:129–133

    Article  PubMed  CAS  Google Scholar 

  31. Pasqualin A, Mazza C, Cavazzani P et al (1986) Intracranial aneurysms and subarachnoid hemorrhage in children and adolescents. Childs Nerv Syst 2:185–190

    Article  PubMed  CAS  Google Scholar 

  32. Shucart WA, Wolpert SA (1972) An aneurysm in infancy presenting with diabetes insipidus. Case report. J Neurosurg 37:368–370

    PubMed  CAS  Google Scholar 

  33. Ventureyra EC, Higgins MJ (1994) Traumatic intracranial aneurysms in childhood and adolescence. Case reports and review of the literature. Childs Nerv Syst 10:361–379

    Article  PubMed  CAS  Google Scholar 

  34. Marubayashi T, Kaku M, Yoshida A et al (1975) Traumatic aneurysm of the frontopolar artery developing after evacuation of the subdural effusion in a 6-month-old girl (author’s translation). No Shinkei Geka 3:177–183

    PubMed  CAS  Google Scholar 

  35. Lasjaunias P, Campi A, Rodesch G et al (1997) Aneurysmal disease in children. Review of 20 cases with intracranial arterial localisations. Interv Neuroradiol 3:215–229

    CAS  PubMed  Google Scholar 

  36. Gallia GL, Moore C, Jordan L et al (2005) Neonatal cavernous carotid artery aneurysm: case report. J Neurosurg 102:332–337

    PubMed  Google Scholar 

  37. Bremer JL (1943) Congenital aneurysms of the cerebral arteries. An embryologic study. Arch Pathol 35:819–831

    Google Scholar 

  38. Wierdis T, Giannini V, Iaia E (1965) Foetal and neonatal cerebrovascular disease. Early results of post-mortem carotid angiography. Panminerva Med 7:325–338

    PubMed  CAS  Google Scholar 

  39. Strigini FA, Nardini V, Carmignani A et al (2004) Second-trimester diagnosis of intracranial vascular anomalies in a fetus with subdural hemorrhage. Prenat Diagn 24:31–34

    Article  PubMed  Google Scholar 

  40. Batnitzky S, Muller J (1978) Infantile and juvenile cerebral aneurysms. Neuroradiology 16:61–64

    Article  PubMed  CAS  Google Scholar 

  41. Storrs BB, Humphreys RP, Hendrick EB et al (1982) Intracranial aneurysms in the pediatric age-group. Childs Brain 9:358–361

    PubMed  CAS  Google Scholar 

  42. Endo S, Sato S, Uneoka K et al (1974) Traumatic aneurysm of the callosomarginal artery: case report (author’s transl). No Shinkei Geka 2:329–336

    PubMed  CAS  Google Scholar 

  43. Pia HW, Fontana H (1977) Aneurysms of the posterior cerebral artery. Locations and clinical pictures. Acta Neurochir (Wien) 38:13–35

    Article  CAS  Google Scholar 

  44. Mitchell N, Angrist A (1943) Intracranial aneurysms—a report of thirty-six cases. Ann Intern Med 19:909–923

    Google Scholar 

  45. Kanaan I, Lasjaunias P, Coates R (1995) The spectrum of intracranial aneurysms in pediatrics. Minim Invasive Neurosurg 38:1–9

    PubMed  CAS  Google Scholar 

  46. Berenstein A, Lasjaunias P, terBrugge KG (2004) Occlusive vascular disease. In: Berenstein A, Lasjaunias P, terBrugge KG (eds) Surgical neuroangiography: 2.1. Clinical and endovascular treatment aspects in adults. Springer, Berlin Heidelberg New York, pp 1–152

    Google Scholar 

  47. Levine NB, Tanaka T, Jones BV et al (2004) Minimally invasive management of a traumatic artery aneurysm resulting from shaken baby syndrome. Pediatr Neurosurg 40:128–131

    Article  PubMed  Google Scholar 

  48. Motohashi M, Kameyama M, Imaizumi S et al (2004) A distal anterior cerebral artery aneurysm in infant: disappearance and reappearance of the aneurysm. J Clin Neurosci 11:86–88

    Article  PubMed  Google Scholar 

  49. Tamhankar MA, Liu GT, Young TL et al (2004) Acquired, isolated third nerve palsies in infants with cerebrovascular malformations. Am J Ophthalmol 138:484–486

    Article  PubMed  Google Scholar 

  50. Chiu N-C, Ein-Yiao S (2003) Color Doppler sonography of an aneurysm of the middle cerebral artery in a child. J Med Ultrasound 11:18–21

    Article  Google Scholar 

  51. Kim B, Lee SK, terBrugge KG (2003) Endovascular treatment of traumatic intracranial aneurysm in an infant—a case report. Interv Neuroradiol 9:199–204

    CAS  PubMed  Google Scholar 

  52. Maroun F, Squarey K, Jacob J et al (2003) Rupture of middle cerebral artery aneurysm in a neonate: case report and review of the literature. Surg Neurol 59:114–119

    Article  PubMed  Google Scholar 

  53. Meyer-Heim AD, Boltshauser E (2003) Spontaneous intracranial haemorrhage in children: aetiology, presentation and outcome. Brain Dev 25:416–421

    Article  PubMed  Google Scholar 

  54. Sungarian A, Rogg J, Duncan JA III (2003) Pediatric intracranial aneurysm: a diagnostic dilemma solved with contrast-enhanced MR imaging. AJNR Am J Neuroradiol 24:370–372

    PubMed  Google Scholar 

  55. Belle F, Luckers O, Otto B et al (2002) Arterial aneurysm within a tumor in a pediatric patient. Neurochirurgie 48:30–34

    PubMed  CAS  Google Scholar 

  56. Krapf H, Schoning M, Petersen D et al (2002) Complete asymptomatic thrombosis and resorption of a congenital giant intracranial aneurysm. J Neurosurg 97:184–189

    PubMed  Google Scholar 

  57. Chul Suh D, Alvarez H, Bhattacharya JJ et al (2001) Intracranial haemorrhage within the first two years of life. Acta Neurochir (Wien) 143:997–1004

    Article  Google Scholar 

  58. Desai K, Nadkarni T, Muzumdar D et al (2001) Rupture of a giant posterior inferior cerebellar artery aneurysm in an infant following a ventriculoperitoneal shunt—case report. Neurol Med Chir (Tokyo) 41:127–130

    Article  CAS  Google Scholar 

  59. Kaptain GJ, Sheehan JP, Kassell NF (2001) Lenticulostriate artery aneurysm in infancy. Case illustration. J Neurosurg 94:538

    PubMed  CAS  Google Scholar 

  60. Khoo LT, Wallace MJ, McComb JG et al (2001) Pediatric aneurysmal disease. In: McLone DG, Marlin AE, Scott RM, Steinbok P, Reigel DH, Walker ML, Cheek WR (eds) Pediatric neurosurgery. Surgery of the developing nervous system. Saunders, Philadelphia, pp 1133–1152

    Google Scholar 

  61. Nunes ML, Pinho AP, Sfoggia A (2001) Cerebral aneurysmal dilatation in an infant with perinatally acquired HIV infection and HSV encephalitis. Arq Neuropsiquiatr 59:116–118

    PubMed  CAS  Google Scholar 

  62. Sandberg DI, Lamberti-Pasculli M, Drake JM et al (2001) Spontaneous intraparenchymal hemorrhage in full-term neonates. Neurosurgery 48:1042–1048

    Article  PubMed  CAS  Google Scholar 

  63. Jansen FE, Vandertop WP, Velthuis BK (2000) Aneurysm detection with computed tomographic angiography in a 1-month-old infant. Pediatr Neurol 23:361–363

    Article  PubMed  CAS  Google Scholar 

  64. Kourtopoulos H, Lindgren S, Oberg L (2000) Ruptured intracranial aneurysms in infancy. Diagnostic difficulties and overall reflections associated with the surgical treatment and the treatment of vasospasm. Acta Neurochir (Wien) 142:1425–1426

    Article  CAS  Google Scholar 

  65. Piastra M, Chiaretti A, Tortorolo L (2000) Ruptured intracranial mycotic aneurysm presenting as cerebral haemorrhage in an infant: case report and review of the literature. Childs Nerv Syst 16:190–193

    Article  PubMed  CAS  Google Scholar 

  66. Young WF, Pattisapu JV (2000) Ruptured cerebral aneurysm in a 39-day-old infant. Clin Neurol Neurosurg 102:140–143

    Article  PubMed  CAS  Google Scholar 

  67. Ghosh S, Levy ML, Stanley P et al (1999) Intraoperative angiography in the management of pediatric vascular disorders. Pediatr Neurosurg 30:16–22

    Article  PubMed  CAS  Google Scholar 

  68. Huna-Baron R, Lesser RL, Warren FA et al (1999) Infantile cerebral aneurysms with visual pathway compression. Pediatr Neurosurg 31:322–325

    Article  PubMed  CAS  Google Scholar 

  69. Plunkett J (1999) Sudden death in an infant caused by rupture of a basilar artery aneurysm. Am J Forensic Med Pathol 20:211–214

    Article  PubMed  CAS  Google Scholar 

  70. Shirane R, Kondo T, Yoshida YK et al (1999) Ruptured cerebral pseudoaneurysm caused by the removal of a ventricular catheter. Case report. J Neurosurg 91:1031–1033

    PubMed  CAS  Google Scholar 

  71. Allison JW, Davis PC, Sato Y et al (1998) Intracranial aneurysms in infants and children. Pediatr Radiol 28:223–229

    Article  PubMed  CAS  Google Scholar 

  72. Tan MP, McConachie NS, Vloeberghs M (1998) Ruptured fusiform cerebral aneurysm in a neonate. Childs Nerv Syst 14:467–469

    Article  PubMed  CAS  Google Scholar 

  73. Tsai M-C, Wang AD-J, Wei C-P et al (1998) Giant intracranial aneurysm of the left middle cerebral artery: an infancy case report and literature review. Acta Neurol Taiwan 7:38–45

    Google Scholar 

  74. Kasahara E, Murayama T, Yamane C (1996) Giant cerebral arterial aneurysm in an infant: report of a case and review of 42 previous cases in infants with cerebral arterial aneurysm. Acta Paediatr Jpn 38:684–688

    PubMed  CAS  Google Scholar 

  75. Lam CH, Montes J, Farmer JP et al (1996) Traumatic aneurysm from shaken baby syndrome: case report. Neurosurgery 39:1252–1255

    Article  PubMed  CAS  Google Scholar 

  76. Hosotani K, Tokuriki Y, Takebe Y et al (1995) Ruptured aneurysm of the distal posterior inferior cerebellar artery in a neonate—case report. Neurol Med Chir (Tokyo) 35:892–895

    CAS  Google Scholar 

  77. Muszynski CA, Carpenter RJ Jr, Armstrong DL (1994) Prenatal sonographic detection of basilar aneurysm. Pediatr Neurol 10:70–72

    Article  PubMed  CAS  Google Scholar 

  78. Cheung H, Lee FC (1993) A thrombosed saccular posterior cerebral artery aneurysm in an infant. Australas Radiol 37:90–92

    PubMed  CAS  Google Scholar 

  79. Kuchelmeister K, Schulz R, Bergmann M et al (1993) A probably familial saccular aneurysm of the anterior communicating artery in a neonate. Childs Nerv Syst 9:302–305

    Article  PubMed  CAS  Google Scholar 

  80. DiMario FJ Jr, Rorke LB (1992) Transient oculomotor nerve paresis in congenital distal basilar artery aneurysm. Pediatr Neurol 8:303–306

    Article  PubMed  Google Scholar 

  81. Piatt JH Jr, Clunie DA (1992) Intracranial arterial aneurysm due to birth trauma. Case report. J Neurosurg 77:799–803

    PubMed  Google Scholar 

  82. Boop FA, Chadduck WM, Sawyer J et al (1991) Congenital aneurysmal hemorrhage and astrocytoma in an infant. Pediatr Neurosurg 17:44–47

    PubMed  Google Scholar 

  83. De Marinis P, Punzo A, Colangelo M et al (1991) Giant aneurysm of the calloso-marginal artery. Childs Nerv Syst 7:353–355

    Article  PubMed  Google Scholar 

  84. Whitfield PC, Bullock R (1991) Infected intracranial aneurysm in an infant: case report. Neurosurgery 28:623–625

    Article  PubMed  CAS  Google Scholar 

  85. Cedzich C, Schramm J, Rockelein G (1990) Multiple middle cerebral artery aneurysms in an infant. Case report. J Neurosurg 72:806–809

    PubMed  CAS  Google Scholar 

  86. Meyer FB, Sundt TM Jr, Fode NC et al (1989) Cerebral aneurysms in childhood and adolescence. J Neurosurg 70:420–425

    PubMed  CAS  Google Scholar 

  87. Osenbach RK (1989) Giant aneurysm of the distal posterior inferior cerebellar artery in an 11-month-old child presenting with obstructive hydrocephalus. Pediatr Neurosci 15:309–312

    PubMed  CAS  Google Scholar 

  88. Shimauchi M, Yamakawa Y, Maruoka N et al (1989) Ruptured intracranial aneurysm in a 19-day-old infant—case report. Neurol Med Chir (Tokyo) 29:1047–1050

    CAS  Google Scholar 

  89. Bergwerk A, Eviater L, Zito J et al (1990) Cerebral aneurysm in a three-month-old infant. Child Hosp Q 2:87–89

    Google Scholar 

  90. Frank E, Zusman E (1990) Aneurysms of the distal anterior cerebral artery in infants. Pediatr Neurosurg 16:179–182

    PubMed  Google Scholar 

  91. Putty TK, Luerssen TG, Campbell RL et al (1990) Magnetic resonance imaging diagnosis of a cerebral aneurysm in an infant. Case report and review of the literature. Pediatr Neurosurg 16:48–51

    Article  PubMed  Google Scholar 

  92. Roy C, Noseda G, Arzimanoglou A et al (1990) Rendu Osler disease revealed by ruptured cerebral arterial aneurysm in an infant. Arch Fr Pediatr 47:741–742

    PubMed  CAS  Google Scholar 

  93. Gruss P, Gerhart G, Heindl R et al (1988) Intracerebral hematoma from a large aneurysm of the middle cerebral artery in infancy. Z Kinderchir 43:410–413

    PubMed  CAS  Google Scholar 

  94. Thrush AL, Marano GD (1988) Infantile intracranial aneurysm: report of a case and review of the literature. AJNR Am J Neuroradiol 9:903–906

    PubMed  CAS  Google Scholar 

  95. Crisostomo EA, Leaton E, Rosenblum EL (1986) Features of intracranial aneurysms in infants and report of a case. Dev Med Child Neurol 28:68–72

    Article  PubMed  CAS  Google Scholar 

  96. Zee CS, Segall HD, McComb JG et al (1986) Intracranial arterial aneurysms in childhood: more recent considerations. J Child Neurol 1:99–114

    Article  PubMed  CAS  Google Scholar 

  97. Lena G, Choux M (1985) Giant intracranial aneurysms in children 15 years old or under. Case reports and literature review. J Pediatr Neurosci 1:84–93

    Google Scholar 

  98. Daltroff G, Lamit J, Bichet J et al (1984) Intracranial septic aneurysm in an infant. Apropos of a case and review of the literature. Pediatrie 39:125–132

    PubMed  CAS  Google Scholar 

  99. Hirata K, Yamashita T, Ishiwata Y et al (1983) A case report of the intracranial aneurysm in an infants. Nerv Syst Child (Kobe) 8:1–7

    Google Scholar 

  100. Kunimine H, Inoue H, Isobe I et al (1983) Case of intracranial aneurysm in an infant: together with evaluation of 31 cases from the literature. No Shinkei Geka 11:531–538

    PubMed  CAS  Google Scholar 

  101. Hungerford GD, Marzluff JM, Kempe LG et al (1981) Cerebral arterial aneurysm in a neonate. Neuroradiology 21:107–110

    Article  PubMed  CAS  Google Scholar 

  102. Kitano I, Fukui M, Kinoshita K (1981) Infantile cerebral aneurysm. Surg Neurol 16:386–390

    Article  PubMed  CAS  Google Scholar 

  103. Laurent JP, Cheek WR, Mims T et al (1981) Traumatic intracranial aneurysm in an infant: case report and review of the literature. Neurosurgery 9:303–306

    PubMed  CAS  Google Scholar 

  104. Miyagami M, Koga N, Satoh K et al (1981) Intracranial aneurysm in an infant—case report and review of the literature. Nerv Syst Child 6:99–105

    Google Scholar 

  105. Endo S, Takaku A, Aihara H et al (1980) Traumatic cerebral aneurysm associated with widening skull fracture. Report of two infancy cases. Childs Brain 6:131–139

    PubMed  CAS  Google Scholar 

  106. Isler W (1980) Cerebrovascular diseases in the first three years of life. Brain Dev 2:95–105

    PubMed  CAS  Google Scholar 

  107. Keren G, Barzilay Z, Cohen BE (1980) Ruptured intracranial arterial aneurysm in the first year of life: a case report. Arch Neurol 37:392–393

    PubMed  CAS  Google Scholar 

  108. Ventureyra EC, Choo SH, Benoit BG (1980) Super giant globoid intracranial aneurysm in an infant. Case report. J Neurosurg 53:411–416

    PubMed  CAS  Google Scholar 

  109. Bolander H, Hassler O, Liliequist B et al (1978) Cerebral aneurysm in an infant with fibromuscular hyperplasia of the renal arteries. Case report. J Neurosurg 49:756–759

    PubMed  CAS  Google Scholar 

  110. Grode ML, Saunders M, Carton CA (1978) Subarachnoid hemorrhage secondary to ruptured aneurysms in infants. Report of two cases. J Neurosurg 49:898–902

    PubMed  CAS  Google Scholar 

  111. Lee YJ, Kandall SR, Ghali VS (1978) Intracerebral arterial aneurysm in a newborn. Arch Neurol 35:171–172

    PubMed  CAS  Google Scholar 

  112. Lipper S, Morgan D, Krigman MR et al (1978) Congenital saccular aneurysm in a 19-day-old neonate: case report and review of the literature. Surg Neurol 10:161–165

    PubMed  CAS  Google Scholar 

  113. Almeida GM, Pindaro J, Plese P et al (1977) Intracranial arterial aneurysms in infancy and childhood. Childs Brain 3:193–199

    PubMed  CAS  Google Scholar 

  114. Morelli RJ, Laubscher F (1977) Intracranial aneurysm in infancy. Case report. J Neurosurg 46:832–834

    PubMed  CAS  Google Scholar 

  115. Dobronyi I, Vajda J (1976) Saccular aneurysm of the A. cerebri media operated in infancy. Acta Paediatr Acad Sci Hung 17:311–315

    PubMed  CAS  Google Scholar 

  116. Schuster H, Koos WTh (1976) On the problems of aneurysms and angiomas of the central nervous system in childhood. In: Koos WTh, Bock FW, Spetzler RF (eds) Clinical microneurosurgery. Thieme, Stuttgart, pp 221–225

    Google Scholar 

  117. Ferry PC, Kerber C, Peterson D et al (1974) Arteriectasis, subarachnoid hemorrhage in a three-month-old infant. Neurology 24:494–500

    PubMed  CAS  Google Scholar 

  118. Raimondi AJ, Torres H (1973) Acute hydrocephalus as a complication of subarachnoid hemorrhage. Surg Neurol 1:23–26

    PubMed  CAS  Google Scholar 

  119. Thompson JR, Harwood-Nash DC, Fitz CR (1973) Cerebral aneurysms in children. Am J Roentgenol Radium Ther Nucl Med 118:163–175

    PubMed  CAS  Google Scholar 

  120. Suwanwela C, Suwanwela N, Charuchinda S et al (1972) Intracranial mycotic aneurysms of extravascular origin. J Neurosurg 36:552–559

    PubMed  CAS  Google Scholar 

  121. Bilikova A, Zajicek M (1971) Cerebral hemorrhage caused by vascular aneurysms in children. Ceskoslov Pediatr 26:332–333

    CAS  Google Scholar 

  122. Pickering LK, Hogan GR, Gilbert EF (1970) Aneurysm of the posterior inferior cerebellar artery. Rupture in a newborn. Am J Dis Child 119:155–158

    PubMed  CAS  Google Scholar 

  123. Thompson RA, Pribram HF (1969) Infantile cerebral aneurysm associated with ophthalmoplegia and quadriparesis. Neurology 19:785–789

    PubMed  CAS  Google Scholar 

  124. Vapalahti PM, Schugk P, Tarkkanen L et al (1969) Intracranial arterial aneurysm in a three-month-old infant. Case report. J Neurosurg 30:169–171

    PubMed  CAS  Google Scholar 

  125. Lapras C, Goutelle A, Brunat M et al (1968) Intracranial aneurysms in children. Apropos of 4 cases. Neurochirurgie 14:891–900

    PubMed  CAS  Google Scholar 

  126. Overton MC III, Calvin TH Jr (1966) Iatrogenic cerebral cortical aneurysm. Case report. J Neurosurg 24:672–675

    PubMed  Google Scholar 

  127. Garcia-Chavez C, Moossy J (1965) Cerebral artery aneurysm in infancy: association with agenesis of the corpus callosum. J Neuropathol Exp Neurol 24:492–501

    Google Scholar 

  128. Pool JL, Potts DG (1965) Intracranial aneurysms. In: Aneurysms and arteriovenous anomalies of the brain. Harper and Row, New York, pp 40–64

    Google Scholar 

  129. Hammill JF, Carter S (1964) Cited by Garcia-Chavez and Moossy, 1965

  130. Jaenisch W (1964) Ruptured aneurysm of the brain base in infants. Zentralbl Allg Pathol 105:439–442

    PubMed  CAS  Google Scholar 

  131. Jones RK, Shearburn EW (1961) Intracranial aneurysm in a four-week-old infant. Diagnosis by angiography and successful operation. J Neurosurg 18:122–124

    PubMed  CAS  Google Scholar 

  132. Lemmen LJ, Schneider RC (1953) Aneurysm in the third ventricle. Neurology 3:474–476

    PubMed  CAS  Google Scholar 

  133. Valle JR, Cavalcanti AR (1953) Hemorragia subaracnóide espontânea em lactente de dois mêses de idade. Jornal de Pediatria Orgao Oficial 18:392–397

    CAS  Google Scholar 

  134. Ernstbrunner E (1949) Blutung aus einem mykotischen Aneurysma der Arteria basilaris bei einer Pneumokokken-Meningitis. Oesterreichische Zeitschrift fuer Kinderheilkunde und Kinderfuersorge Wien 2:280–283

    CAS  Google Scholar 

  135. Newcombe AL, Munns GF (1949) Rupture of aneurysm of the circle of Willis in the newborn. Pediatrics 3:769–772

    Google Scholar 

  136. Forster FM, Alpers BJ (1943) Aneurysm of circle of Willis associated with congenital polycystic diasease of the kidneys. Arch Neurol Psychiatr 50:669–676

    Google Scholar 

  137. Tabata H, Matsushima Y, Fukumoto T et al (1983) A case of infantile cerebral aneurysm found after an onset of hydrocephalus. Japanese Journal of Pediatrics 36:541–548

    Google Scholar 

  138. Gutierrez FA, Bailes J, McLone DG (1987) Intracranial aneurysm and pseudo-aneurysm occurring during infancy and childhood: diagnosis and surgical results. Concepts Pediatr Neurosurg 7:153–168

    Google Scholar 

  139. Agid R, Souza MP, Reintamm G et al (2005) The role of endovascular treatment for pediatric aneurysms. Childs Nerv Syst 21(12):1030–1036

    Article  PubMed  Google Scholar 

  140. McDonald CA, Korb M (1939) Intracranial aneurysms. Arch Neurol Psychiatr 42:298–328

    Google Scholar 

  141. Housepian EM, Pool JL (1958) A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital, 1914 to 1956. J Neuropathol Exp Neurol 17:409–423

    PubMed  CAS  Google Scholar 

  142. Lasjaunias P, terBrugge KG. (1997) Intracranial aneurysms in children. In: Lasjaunias P, terBrugge KG (eds) Vascular diseases in neonates, infants and children. Springer, Berlin Heidelberg New York, pp 373–392

    Google Scholar 

  143. Ohkuma H, Fujita S, Suzuki S (2002) Incidence of aneurysmal subarachnoid hemorrhage in Shimokita, Japan, from 1989 to 1998. Stroke 33:195–199

    Article  PubMed  Google Scholar 

  144. (2000) Epidemiology of aneurysmal subarachnoid hemorrhage in Australia and New Zealand: incidence and case fatality from the Australasian Cooperative Research on Subarachnoid Hemorrhage Study (ACROSS). Stroke 31:1843–1850

  145. Schievink WI (1997) Intracranial aneurysms. N Engl J Med 336:28–40

    Article  PubMed  CAS  Google Scholar 

  146. Sedzimir CB, Robinson J (1973) Intracranial hemorrhage in children and adolescents. J Neurosurg 38:269–281

    Article  PubMed  CAS  Google Scholar 

  147. Østergaard JR, Voldby B (1983) Intracranial arterial aneurysms in children and adolescents. J Neurosurg 58:832–837

    PubMed  Google Scholar 

  148. Hourihan MD, Gates PC, McAllister VL (1984) Subarachnoid hemorrhage in childhood and adolescence. J Neurosurg 60:1163–1166

    PubMed  CAS  Google Scholar 

  149. Buckingham MJ, Crone KR, Ball WS et al (1988) Traumatic intracranial aneurysms in childhood: two cases and a review of the literature. Neurosurgery 22:398–408

    PubMed  CAS  Google Scholar 

  150. Juvela S, Poussa K, Porras M (2001) Factors affecting formation and growth of intracranial aneurysms: a long-term follow-up study. Stroke 32:485–491

    PubMed  CAS  Google Scholar 

  151. Schievink WI, Torres VE, Piepgras DG et al (1992) Saccular intracranial aneurysms in autosomal dominant polycystic kidney disease. J Am Soc Nephrol 3:88–95

    Article  PubMed  CAS  Google Scholar 

  152. Schievink WI (1997) Genetics of intracranial aneurysms. Neurosurgery 40:651–662

    Article  PubMed  CAS  Google Scholar 

  153. Berenstein A, Lasjaunias P, terBrugge KG (2004) Aneurysmal vasculopathies. In: Berenstein A, Lasjaunias P, terBrugge KG (eds) Surgical neuroangiography: 2.1. Clinical and endovascular treatment aspects in adults. Springer, Berlin Heidelberg New York pp 365–564

    Google Scholar 

  154. Lasjaunias P, Berenstein A, terBrugge KG (2001) Intradural arteries. In: Lasjaunias P, Berenstein A, terBrugge KG (eds) Surgical neuroangiography: 1. Clinical vascular anatomy and variations. Springer, Berlin Heidelberg New York, pp 479–629

    Google Scholar 

  155. 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 360:1267–1274

    Article  PubMed  Google Scholar 

  156. Gerosa M, Licata C, Fiore DL et al (1980) Intracranial aneurysms of childhood. Childs Brain 6:295–302

    PubMed  CAS  Google Scholar 

Download references

Acknowledgements

We thank Harold M.P. Pelikan, M.D., for translating the Czech article and George I. Jallo, M.D., for informing us about some articles previously unseen by the authors. The authors also wish to express their gratitude to Dr. G. Lena and Dr. A.D.-J. Wang for kindly sending us their respective articles.

Note added in proof

Since submission of this manuscript several studies regarding intracranial aneurysms in children under one year which would have been eligible for this study have appeared.

Aryan HE, Giannotta SL, Fukushima T, Park MS, Ozgur BM, Levy ML (2006) Aneurysms in children: review of 15 years experience. J Clin Neurosci. Feb;13(2):182–192. Epub ahead of print Jan 30

Kourtopoulos H (2005) Neonatal aneurysms. J Neurosurg. Nov;103(5 Suppl):472; author reply 472–473

Sanai N, Quinones-Hinojosa A, Gupta NM, Perry V, Sun PP, Wilson CB, Lawton MT (2006) Pediatric intracranial aneurysms: durability of treatment following microsurgical and endovascular management. J Neurosurg. Feb;104(2 Suppl):82–89

Song JK, Niimi Y, Brisman JL, Fernandez PM, Berenstein A (2005) Multiple cerebral aneurysms in a neonate: occlusion and rupture. J Neurosurg. Jan;102(1 Suppl):81–85

Author information

Authors and Affiliations

  1. Department of Pediatric Neurosurgery, VU University Medical Center, Amsterdam, The Netherlands

    D. R. Buis, W. J. R. van Ouwerkerk & W. P. Vandertop

  2. Department of Neurosurgery, Sasebo City General Hospital, Sasebo, Japan

    H. Takahata

  3. Department of Neurosurgery, VU University Medical Center, 2D 168, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands

    D. R. Buis & W. P. Vandertop

Authors
  1. D. R. Buis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. J. R. van Ouwerkerk
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Takahata
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. W. P. Vandertop
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. R. Buis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buis, D.R., van Ouwerkerk, W.J.R., Takahata, H. et al. Intracranial aneurysms in children under 1 year of age: a systematic review of the literature. Childs Nerv Syst 22, 1395–1409 (2006). https://doi.org/10.1007/s00381-006-0142-3

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-006-0142-3

Keywords

Search

Navigation