scholarly journals The Natural History of Unruptured Intracranial Aneurysms Based on the Analysis of SUAVe Study and Other Published Data(New Concept in Treatment for Cerebral Aneurysm)

2012 ◽  
Vol 21 (4) ◽  
pp. 288-297
Author(s):  
Tomosato Yamazaki ◽  
Makoto Sonobe ◽  
Masahiro Yonekura ◽  
Haruhiko Kikuchi
Keyword(s):  
Natural History ◽  
Cerebral Aneurysm ◽  
Intracranial Aneurysms ◽  
Published Data ◽  
Special Issue ◽  
Unruptured Intracranial Aneurysms ◽  
History Of

Unruptured intracranial aneurysms in children: 18 years’ experience in a tertiary care pediatric institution

2019 ◽  
Vol 24 (2) ◽  
pp. 184-189 ◽  
Author(s):  
Daniel-Alexandre Bisson ◽  
Peter Dirks ◽  
Afsaneh Amirabadi ◽  
Manohar M. Shroff ◽  
Timo Krings ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Natural History ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Tertiary Care ◽  
Unruptured Intracranial Aneurysms ◽  
History Of ◽  
Mean Size

OBJECTIVEThere are little data in the literature on the characteristics and natural history of unruptured intracranial aneurysms in children. The authors analyzed their experience with unruptured intracranial aneurysms in the pediatric population at their tertiary care pediatric institution over the last 18 years. The first objective was to assess the imaging characteristics and natural history of these aneurysms in order to help guide management strategies in the future. A second objective was to evaluate the frequency of an underlying condition when an incidental intracranial aneurysm was detected in a child.METHODSThe authors conducted a Research Ethics Board–approved retrospective review of incidental intracranial aneurysms in patients younger than 18 years of age who had been treated at their institution in the period from 1998 to 2016. Clinical (age, sex, syndrome) and radiological (aneurysm location, type, size, thrombus, mass effect) data were recorded. Follow-up imaging was assessed for temporal changes.RESULTSSixty intracranial aneurysms occurred in 51 patients (36 males, 15 females) with a mean age of 10.5 ± 0.5 years (range 9 months–17 years). Forty-five patients (88.2%) had a single aneurysm, while 2 and 3 aneurysms were found in 3 patients each (5.8%). Syndromic association was found in 22 patients (43.1%), most frequently sickle cell disease (10/22 [45.5%]). Aneurysms were saccular in 43 cases (71.7%; mean size 5.0 ± 5.7 mm) and fusiform in the remaining 17 (28.3%; mean size 6.5 ± 2.7 mm). Thirty-one aneurysms (51.7%) arose from the internal carotid artery (right/left 1.4), most commonly in the cavernous segment (10/31 [32.3%]). Mean size change over the entire follow-up of 109 patient-years was a decrease of 0.6 ± 4.2 mm (range −30.0 to +4.0 mm, rate −0.12 ± 9.9 mm/yr). Interval growth (2.0 ± 1.0 mm) was seen in 8 aneurysms (13.3%; 4 saccular, 4 fusiform). An interval decrease in size (8.3 ± 10.7 mm) was seen in 6 aneurysms (10%). There was an inverse relationship between aneurysm size and growth rate (r = −0.82, p < 0.00001). One aneurysm was treated endovascularly with internal carotid artery sacrifice.CONCLUSIONSUnruptured pediatric intracranial aneurysms are most frequently single but can occur in multiples in a syndromic setting. None of the cases from the study period showed clinical or imaging signs of rupture. Growth over time, although unusual and slow, can occur in a proportion of these patients, who should be identified for short-term imaging surveillance.

scholarly journals Natural History of Unruptured Intracranial Aneurysms

2018 ◽  
Vol 27 (3) ◽  
pp. 184-191
Author(s):  
Jun C. Takahashi ◽  
Hiroharu Kataoka ◽  
Tetsu Satow ◽  
Hisae Mori
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
Unruptured Intracranial Aneurysms ◽  
History Of

The Natural History of Unruptured Intracranial Aneurysms

1981 ◽  
Vol 304 (12) ◽  
pp. 696-698 ◽  
Author(s):  
David O. Wiebers ◽  
Jack P. Whisnant ◽  
W. Michael O'Fallon
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
Unruptured Intracranial Aneurysms ◽  
History Of

Editorial: Natural history of unruptured intracranial aneurysms

2012 ◽  
Vol 117 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Giuseppe Lanzino ◽  
Robert D. Brown
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
Unruptured Intracranial Aneurysms ◽  
History Of

scholarly journals Natural History of Unruptured Intracranial Aneurysms : A Retrospective Single Center Analysis

2015 ◽  
Vol 59 (1) ◽  
pp. 11 ◽  
Author(s):  
Hyoung Soo Byoun ◽  
Won Huh ◽  
Chang Wan Oh ◽  
Jae Seung Bang ◽  
Gyojun Hwang ◽  
...  
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
Single Center ◽  
Unruptured Intracranial Aneurysms ◽  
History Of

Unruptured Intracranial Aneurysms and Vascular Malformations

2021 ◽  
pp. 429-439
Author(s):  
Robert D. Brown
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
Vascular Malformations ◽  
Death Rates ◽  
Vascular Abnormalities ◽  
Epidemiologic Factors ◽  
Appropriate Treatment ◽  
Unruptured Intracranial Aneurysms ◽  
History Of ◽  
The Brain

Knowledge of the natural history of unruptured intracranial aneurysms and vascular malformations of the brain is important because this information can be weighed against the morbidity and death rates of intervention to decide on the most appropriate treatment of an individual patient. This chapter reviews the epidemiologic factors and natural history of common intracranial vascular abnormalities.

Natural history of untreated unruptured intracranial aneurysms in the elderly

2020 ◽  
Vol 64 (2) ◽  
Author(s):  
Lorenzo Rinaldo ◽  
Daniel L. Shepherd ◽  
Meghan E. Murphy ◽  
Roanna L. Vine ◽  
Robert D. Brown Jr. ◽  
...  
Keyword(s):  
Natural History ◽  
Intracranial Aneurysms ◽  
The Elderly ◽  
Unruptured Intracranial Aneurysms ◽  
History Of
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