Cite

Copy

Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Install/Install App' to create a shortcut app

Complications of Therapies for Intracranial Aneurysms in Children

This page was last updated on May 9th, 2017

Treatment-related morbidity is encountered in 20–25% of cases, and the surgical mortality rate is significantly less than 5% in most series (7, 30).

Surgical

Intraoperative complications

  • Re-rupture of the aneurysm: In a series of 53 surgical procedures, intraoperative re-rupture occurred in 2 children; both cases were managed successfully (30).

Postoperative complications

  • Hematoma: In a series of 53 surgical procedures, a postoperative intracranial hematoma occurred in two children (30).
  • Permanent neurological deficit: In the same series a permanent neurological deficit was observed in three children (30).
  • Hydrocephalus: In the same series two children required the placement of a ventriculoperitoneal shunt (30).
  • Infection: Although no data are published specifically on postoperative infections after pediatric aneurysm surgery, an infection rate after craniotomy of about 0.5% can be expected. The most common bacteria are Staphylococcus aureus and gram-negative rods (14).

Endovascular

  • Thromboembolic distal vessel occlusion: In a series of 32 children with cerebral aneurysms, embolization with either micro-glue or thrombus occurred in three cases (39).
  • Rebleeding: In the same series, one case of re-rupture during endovascular aneurysm repair is reported (39).

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.