%0 Journal Article
%T Aneurismas cerebrales en la infancia: Un solo nombre para diferentes enfermedades
%A Flavio Requejo
%A Alejandro Ceciliano
%A Rolando C¨¢rdenas
%A Francisco Villasante
%J Revista Argentina de Neurocirug¨ªa
%D 2010
%I 
%X Objetivo. Resaltar la heterogeneidad de los aneurismas cerebrales en la poblaci¨®n pedi¨¢trica. Material y m¨¦todo. 19 pacientes con 20 aneurismas intracraneanos fueron tratados en nuestro Hospital en los ultimos 6 a os. Resultados. La edad media fue de 12 a os (rango 10 meses a 17 a os). 65 %de los aneurismas fueron saculares, 25% fusiformes, hubo un aneurisma infeccioso y otro lenticuloestriado distal. Los pacientes con aneurismas saculares fueron predominantemente varones y se manifestaron m¨¢s com¨²nmente con hemorragia intracraneana (92%). Los aneurismas fusiformes se originaron posteriormente a una disecci¨®n o fueron cr¨®nicos con trombo mural y ejerciendo efecto de masa. La terap¨¦utica fue diferente seg¨²n el tipo aneurism¨¢tico. Conclusi¨®n. Los aneurismas pedi¨¢tricos son un grupo heterog¨¦neo de enfermedades arteriales intracraneanas con manifestaciones cl¨ªnicas, morfolog¨ªa y terap¨¦utica diferentes. Objective. The objective of this article is to highlight the fact that cerebral aneurysms in children are a heterogeneous intracranial arterial disease. Material and methods. Nineteen children with 20 intracranial aneurysms were managed in our Hospital in the last four years. Results. The median age was 12 years (range 10 months - 17 years). 65 % of the aneurysms were saccular, 25% were fusiform, there was one infectious and one distal lenticulostriate aneurysm. Patients with saccular aneurysms were predominantly males and presented more commonly intracranial hemorrhage (92%). Fusiform aneurysms were dissecting in nature or chronic with intramural thrombus and mass effect. Therapy was tailored for every aneurysm type. Conclusion. Pedriatic aneurysms are a heterogeneous group of intracranial arterial diseases with different etiologies, diverse morphology and dissimilar clinical manifestations.
%K Aneurismas pedi¨¢tricos
%K Aneurismas saculares
%K Aneurisma fusiformes
%K Aneurismas fusiformes cr¨®nicos
%K Aneurismas ventr¨ªculoestriados distales
%K Aneurisma infecciosos
%K Pedriatic aneurysms
%K Saccular aneurysm
%K Fusiform dissecting aneurysm
%K Fusiform chronic aneurysm
%K Distal lenticulostriate aneurysm
%K Infectious aneurysm
%U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850-15322010000300008