Türk Nöroşirürji Dergisi 2008 , Vol 18 , Num 2
Intracranial Aneurysms in Childhood; Case Report
Bayram CESUR, Ahmet Hilmi KAYA, Yaşar BAYRİ, Aykan ULUS, Adnan DAĞÇINAR, Alparslan ŞENEL
Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Samsun, Türkiye INTRODUCTION: Intracranial aneurysms are the most common causes of subarachnoidal hemorrage in childhood. The epidemiologic, etiologic and clinical features of these cases which are very rare in children show many differences from adults.

METHOD: In this study, findings and results of three cerebral aneurysm cases treated in our clinic between 2005-2007 are compared with literature findings and general features of intracranial aneurysm disease are reviewed.

DISCUSSION: If the clinical features of childhood intracranial aneurysms are reviewed these are observed; Trauma, infection and many of the acquired or congenital pathologies play a role in development of aneurysms in childhood, aneurysms are more common in boys, they mostly originate from bifurcation of the internal carotid artery and posterior circulation aneurysms are more common than in adults. In therapautic approaches, conservative and/or endovascular methods are more frequently preferred and general clinical results are better than adult counterparts.

CONCLUSION: Childhood intracranial aneurysm disease shows very distinct feaures in epidemiologic, clinical and therapeutic basis from adults. Awareness of these features by physicians who are dealing with this problem will help to have better results. Anahtar Kelimeler : Aneurysm, Child, Subarachnoidal hemorrhage