临床小儿外科杂志2025，Vol.24Issue(2)：138-142,5.DOI:10.3760/cma.j.cn101785-202412041-007
儿童创伤性颅内动脉瘤2例并文献综述
Traumatic intracranial aneurysms in children:a report of 2 cases with a literature review
摘要
Abstract
Objective To explore the clinical characteristics and therapeutic approaches for pediatric traumatic intracranial aneurysm(TICA).Methods A retrospective analysis was conducted for the relevant clinical data of TICA children with varying degrees of consciousness disturbance between January 2020 and De-cember 2023.Also a literature review was performed for retrieving the relevant articles on pediatric TICA from PubMed,Wanfang Medical Network and China National Knowledge Infrastructure(CNKI)from January 1993 to December 2023.The incidence,clinical manifestations,diagnostic and therapeutic procedures of TICA were sys-tematically examined.And modified Rankin Scale(mRS)was utilized for assessing the clinical outcomes of children at their last postoperative follow-up.Results The causes were head trauma(n=1)and iatrogenic injury(n=1).Upon admission,TICA was diagnosed via computed tomography angiography(CTA)and digital subtraction angiography(DSA).Interventional embolization therapy was performed.At the last follow-up,1 case exhibited a favorable prognosis(mRS 0-1)with no residual neurological dysfunction while another case devel-oped hemiplegia of one limb(mRS 2-3).Among the retrieved literature,48 articles fulfilled the exclusion cri-teria,including 6 Chinese and 42 English articles.Among a total of 69 cases,there were 41 boys and 26 girls with a boy-to-girl ratio of 1.6:1.Traffic accidents were identified as the most common cause(23/69,33.3％)and consciousness disturbance dominated(26/69,37.7％).Subarachnoid hemorrhage was a primary manifesta-tion on initial cranial computed tomography(CT)upon admission(38/69,55.1％).A large majority of aneu-rysms were located in anterior circulation(48/69,69.6％),largely cystic in nature(52/69,75.4％)and had a high rupture rate(48/69,69.6％).Interventional therapy was the most frequently chosen treatment modality(51/69,73.9％).And most children exhibited a favorable prognosis after treatment(45/69,65.2％).Con-clusions Pediatric traumatic aneurysms are infrequent in clinical practices and tend to have atypical symptoms.A comprehensive diagnosis should be made through integrating medical history and auxiliary examinations.关键词
创伤性颅内动脉瘤/体征和症状/诊断/血管内治疗/栓塞,治疗性/治疗结果/儿童/总结性报告Key words
Traumatic Intracranial Aneurysm/Signs and Symptoms/Diagnosis/Endovascular Thera-py/Embolization,Therapeutic/Treatment Outcome/Child/Consensus Development Conference引用本文复制引用
孙景轩,张荣庭,杨瑜豪,刘雨辰,杨海玲,仲亿,王杭州,杨天权..儿童创伤性颅内动脉瘤2例并文献综述[J].临床小儿外科杂志,2025,24(2):138-142,5.基金项目
国家自然科学基金(81902972) National Natural Science Foundation of China(81902972) （81902972）
