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Intracranial Arterial Aneurysms in Childhood: More Recent Considerations

Section of Neuroradiology, Department of Radiology, University of Southern California School of Medicine, Los Angeles, CA

Hervey D. Segall, MD

Department of radiology, Childrens Hospital of Los Angeles

J. Gordon McComb, MD

Department of Neurosurgery Childrens Hospital of Los Angeles

Philip Stanley, MD

Department of radiology, Childrens Hospital of Los Angeles

F. Miles Little, MD

Department of Neurosurgery Childrens Hospital of Los Angeles

Jamshid Ahmadi, MD

Section of Neuroradiology, Department of Radiology, University of Southern California School of Medicine, Los Angeles, CA

C. Roger Bird, MD

Department of radiology, Childrens Hospital of Los Angeles, Section of Neuroradiology, Department of Radiology, University of Southern California School of Medicine, Los Angeles, CA

Rochelle Feldman, MD

Section of Neuropathology, Department of Pathology, Childrens Hospital of Los Angeles

Nineteen children with congenital, mycotic, traumatic and tumoral arterial aneurysms were studied neuroradiologically. The important role of computed tomography (CT) was shown in two traumatic aneurysm cases where bleeding was clinically inapparent. Among the unique cases described was a boy with a pituitary tumor in whom an aneurysm was discovered incidentally; coexistence of these lesions in childhood has not been documented previously. Nor has a tumoral aneurysm been mentioned (the case reported had a surrounding primary anaplastic sarcoma). Rare cases included a cavernous carotid mycotic aneurysm and infants with hemorrhage from congenital distal middle cerebral artery aneurysms. Marked cellular responses within the aneurysm walls, believed to be a reaction to hemorrhage, were noted in both infants. (J Child Neurol 1986; 1:99-114)

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