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KMID : 0374919950160020203
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Inje Medical Journal
1995 Volume.16 No. 2 p.203 ~ p.209
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Clinical Study of Cerebral Aneurysms in Childhood and Adolescence
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Kim Soo-Chun
Sim Jae-Hong
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Abstract
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Intracranial aneurysms in childhood and adolescence were rare neurosurgical lesions, occuring at a frequency of approximately 0.5 to 5%. Intracranial aneurysm occured frequently in middle or older age grop with a peak at 5th and 6th decade. During the period from January 1980 to december 1993, 1074 aneurysms were operated on the department of neurosurgery, Pusan Paik hospital, Inje university. Of these, 17 cases occured under 18 years of age in same period.
The average age was 12.4 years(range 4 to 18 years). Presenting signs and symptoms is subarachnoid hemorrage in 13 cases and focal neurological deficits in 4 cases. The operative methods were clipping in 13, trapping in 2. aneurysmorrhaphy in 1 and proximal ligation in 1. The operative results were excellent in 70.5%, good in 23.5% and poor in 5.9%. The goal of this paper was to review our surgical cases which occurred under the age of 18 years and compared surgical results and problems of cerebral aneurysms in juvenile patients with the results obtained with all of our patients.
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KEYWORD
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Intracranial aneurysm, Childhood and adolesecnce, Subarachnoid hemorrhage, Operative result
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