Treatment for Spontaneous Intracranial Dissecting Aneurysms in Childhood: A Retrospective Study of 26 Cases

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Treatment for Spontaneous Intracranial Dissecting Aneurysms in Childhood: A Retrospective Study of 26 Cases

OBJECTIVE This study aimed to assess the clinicoradiological features and treatment outcomes of intracranial dissecting aneurysms (IDAs) in childhood. METHODS We conducted a retrospective study of pediatric patients who were treated for spontaneous IDAs in our institute between January 2010 and December 2015. The clinical presentation, aneurysm characteristics, treatment modality, and outcome...

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Intracranial dissecting aneurysms in childhood.

Children presenting after trauma with headache, seizures, hemiplegia and coma may have an intracranial dissecting aneurysm. Specific angiographic findings provide confirmation of this diagnosis. The dissection occurs subintimally and differs clinically and pathologically from dissecting aneurysms of extracranial arteries. The course in children beyond infancy is catastrophic, justifying conside...

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Treatment Strategies for Management of MCA-M1 Spontaneous Dissecting Aneurysms

The majority of MCA aneurysms are saccular lesions that arise at the MCA bifurcation region [1-5]. Aneurysms involving the M1 segment are less common, accounting for approximately12% of MCA aneurysms, and are generally small saccular lesions at the origin of the anterior temporal artery or a lenticulostriatal perforator [6,7]. MCA-M1 fusiform lesions vary significantly from their saccular count...

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TREATMENT OF SPONTANEOUS INTRACRANIAL HEMORRHAGE USING UROKINASE

Twenty patients with intracranial hematoma (ICH or IVH) were treated with direct infusion of urokinase through a catheter. Reduction of hematoma volume was observed within a few days. Twelve patients showed good or excellent outcome. No infection or rebleeding was observed.

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Dissecting aneurysms of the intracranial vertebral artery.

Among 86 patients with aneurysms arising from the vertebral artery or its branches, 24 had dissecting aneurysms. The patients with dissecting aneurysms were characteristically relatively young males. Twenty-one patients presented with subarachnoid hemorrhage (SAH) and three with ischemia. Severe headache or neck pain occurred in all three patients with ischemia. Five of the 21 patients with SAH...

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ژورنال

عنوان ژورنال: Frontiers in Neurology

سال: 2016

ISSN: 1664-2295

DOI: 10.3389/fneur.2016.00224