To analyze the clinical presentation, treatment selection, and outcomes of pediatric patients with ruptured intracranial aneurysms.
Approach:
Key Findings:
All four patients successfully underwent treatment, with three showing neurological improvement.
One patient with severe preoperative brain herniation died postoperatively.
A total of 27 pediatric intracranial aneurysm cases were analyzed, with a male-to-female ratio of 16:11.
Common symptoms included sudden severe headache, nausea, vomiting, and impaired consciousness.
Endovascular embolization was performed in 11 cases, microsurgical clipping in 10 cases, and combined surgery in 1 case.
Interpretation:
Ruptured pediatric intracranial aneurysms present with nonspecific symptoms, necessitating accurate diagnosis through multimodal imaging. Treatment strategies should be individualized based on clinical presentation and patient-specific factors.
Limitations:
Small sample size and retrospective nature of the study limit the generalizability of findings.
Lack of large-scale, long-term follow-up data on pediatric intracranial aneurysms hinders understanding of outcomes.
Conclusion:
Individualized treatment approaches are essential for managing pediatric intracranial aneurysms, with a focus on precise diagnosis and tailored therapeutic strategies.
