Risk factors for intracranial aneurysm rupture in pediatric patients

Background Intracranial aneurysm (IA) rupture in pediatric patients is a rare but fatal condition. Although risk factors for aneurysm rupture in adults have been well documented, they remain unknown in pediatric patients. Methods Data for 94 pediatric patients with IAs were retrospectively analyzed....

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Bibliographic Details
Published in:Acta neurochirurgica 2022-04, Vol.164 (4), p.1145-1152
Main Authors: Chen, Ruiqi, Zhang, Si, Xiao, Anqi, Guo, Rui, Ma, Junpeng
Format: Article
Language:English
Subjects:
Adult
Aneurysm
Aneurysm, Ruptured - epidemiology
Aneurysm, Ruptured - pathology
Aneurysms
Anterior Cerebral Artery - pathology
Carotid artery
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Interventional Radiology
Intracranial Aneurysm - epidemiology
Intracranial Aneurysm - pathology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Original Article - Pediatric Neurosurgery
Patients
Pediatrics
Retrospective Studies
Risk Factors
Rupture
Surgical Orthopedics
Veins & arteries
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Summary:Background Intracranial aneurysm (IA) rupture in pediatric patients is a rare but fatal condition. Although risk factors for aneurysm rupture in adults have been well documented, they remain unknown in pediatric patients. Methods Data for 94 pediatric patients with IAs were retrospectively analyzed. The patients were divided into ruptured and unruptured groups. Risk factors for aneurysm rupture were analyzed through univariable and multiple logistic regression analyses. Typical patients with risk factors were described. Results Univariable analyses showed that the unruptured group had significantly higher percentages of giant aneurysms (43.2% vs 12.3%, P  = 0.002), wide-neck aneurysms (67.6% vs 29.8%, P  = 0.001), and aneurysms located in the internal carotid artery (40.5% vs 3.5%, P  
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-021-04957-2