儿童颅内动脉瘤的诊断和治疗

目的探讨儿童颅内动脉瘤的临床特点和治疗策略。方法回顾性分析了7例儿童颅内动脉瘤的临床资料。7例儿童动脉瘤中,4例位于后循环,3例位于前循环;1例伴有AVM。仅1例是女童。开颅手术治疗1例,血管内治疗4例,2例未治。结果治疗的5例中,3例经血管内栓塞治愈。1例经开颅手术治愈,1例基底动脉主干梭形动脉瘤经血管内栓塞部分瘤体,症状好转。无死亡。结论儿童颅内动脉瘤罕见,其临床状态常较好,经过积极治疗后大多数可以获得良好的预后。

Diagnosis and Treatment of Intracranial Aneurysms in Children

Objective To investigate the clinical features,diagnosis and treatment of the intracranial aneurysm in children.Methods The clinical data of 7 children with intracranial aneurysm were analyzed retrospectively.Of 7 cases of aneurysms,4 were at the posterior part of Willis circle and 3 at the anterior part of Willis circle.Of 7 children with aneurysms,1 received craniotomy,4 en-dovascular embolization and 2 did not receive any treatment.Results Of 5 children with aneurysms receiving the treatment,3 were cured by endovascular embolization,1 by craniotomy and 1 was improved in symptom due to endovascularly occluding the great part of the aneurysm.No patient died.Conclusion The intracranial aneurysm is rare in children.The majority of children with intracranial aneurysm should get good outcome after being correctly treated.