Individualized treatment for pediatric intracranial aneurysms in China: case series and literature review
By
Guohong Song
Haihui Jia
He Tong
Hua Xu
Changyi Hu
Bo Li
Hao Chen
June 11, 2026
Clinical Scorecard: Tailored Approaches for Treating Pediatric Intracranial Aneurysms in China: A Case Series and Review of Existing Literature
At a Glance
Category Detail
Condition Key Mechanisms Rupture rates in children can reach 57.6%–60.6%, leading to high mortality and disability. Target Population Care Setting
Key Highlights
Pediatric intracranial aneurysms are rare, accounting for 0.8%–5% of all intracranial aneurysms. Symptoms often misinterpreted, leading to delays in diagnosis. Endovascular embolization and microsurgical clipping are primary treatment methods. Individualized treatment strategies are critical based on aneurysm characteristics. Long-term follow-up is essential for monitoring aneurysm recurrence. Guideline-Based Recommendations
Diagnosis
Diagnosis confirmed by digital subtraction angiography (DSA) or intraoperative exploration. Management
Endovascular embolization prioritized for posterior circulation or hemodynamically complex aneurysms. Microsurgical clipping indicated for cases with massive hematoma or brain herniation. Monitoring & Follow-up
Standardized long-term follow-up for monitoring aneurysm recurrence. Risks
Technical limitations in endovascular and microsurgical treatments due to smaller pediatric vessel calibers. Patient & Prescribing Data
Two patients underwent endovascular treatment and two underwent microsurgical clipping, with varying outcomes.
Clinical Best Practices
Utilize multimodal imaging for precise diagnosis of ruptured aneurysms. Consider individualization of treatment strategies based on clinical presentation and imaging findings. Emphasize the importance of long-term follow-up for monitoring outcomes and recurrence. Related Resources & Content
