{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:31:57Z","timestamp":1791235917011,"version":"4.1.0"},"reference-count":60,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"20","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,5,19]]},"abstract":"\n BACKGROUND<\/jats:title>\n Pediatric intracranial aneurysms (IAs) are rare, with an estimated occurrence of less than 5% of all IAs. The pathology of pediatric aneurysms may differ from adult IAs and require additional workup. Management options for pediatric aneurysms include both endovascular and open procedures. The authors report the case of a 7-year-old male with a large, partially thrombosed distal middle cerebral artery (MCA) aneurysm.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The patient presented with left hemiparesis. The initial CT imaging showed an intraparenchymal hemorrhage (IPH) in the right frontal lobe. Digital subtraction angiography (DSA) showed a large, partially thrombosed distal MCA aneurysm. A right frontal craniotomy was performed for aneurysm clipping, excision, and hematoma evacuation. Intraoperative DSA was utilized to confirm the absence of residual aneurysm. At the 6-month follow-up appointment, the patient had returned to his neurological baseline. He continues annual cerebrovascular radiographic surveillance.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Pediatric aneurysms presenting with IPH are exceedingly rare. In this patient, an open surgical intervention was favored due to the presence of an IPH and the distal location of the aneurysm. Pediatric aneurysms may have a different etiology than that of adults. Because of this difference, these lesions require special considerations with regard to workup and treatment.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24373<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24373","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T06:42:09Z","timestamp":1747723329000},"source":"Crossref","is-referenced-by-count":2,"title":["Ruptured distal middle cerebral artery aneurysm in a pediatric patient: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4080-6415","authenticated-orcid":true,"given":"Jonathan","family":"Espinosa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Murtha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7843-7072","authenticated-orcid":true,"given":"Samon","family":"Tavakoli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee A.","family":"Birnbaum","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Mascitelli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi Al","family":"Saiegh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2suppl","key":"bib1","series-title":"J Neurosurg","first-page":"82","article-title":"Pediatric intracranial aneurysms: durability of treatment following microsurgical and endovascular management","volume":"104","author":"Sanai","year":"2006","unstructured":"Sanai NQuinones-Hinojosa AGupta NMPediatric intracranial aneurysms: durability of treatment following microsurgical and endovascular management. J Neurosurg. 2006;104(2suppl):82-89."},{"issue":"5","key":"bib2","series-title":"Surg Neurol","first-page":"424","article-title":"Intracranial aneurysms in the pediatric population: case series and literature review","volume":"63","author":"Huang","year":"2005","unstructured":"Huang JMcGirt MJGailloud PTamargo RJ.Intracranial aneurysms in the pediatric population: case series and literature review. Surg Neurol. 2005;63(5):424-432."},{"issue":"10","key":"bib3","series-title":"Childs Nerv Syst","first-page":"1329","article-title":"Cerebral aneurysms in children: are we talking about a single pathological entity?","volume":"26","author":"Requejo","year":"2010","unstructured":"Requejo FCeciliano ACardenas RVillasante FJaimovich RZuccaro G.Cerebral aneurysms in children: are we talking about a single pathological entity? Childs Nerv Syst. 2010;26(10):1329-1335."},{"issue":"6","key":"bib4","series-title":"J Neurosurg Pediatr","first-page":"685","article-title":"Epidemiology and outcomes of pediatric intracranial aneurysms: comparison with an adult population in a 30-year, prospective database","volume":"28","author":"Xu","year":"2021","unstructured":"Xu RXie MEYang WEpidemiology and outcomes of pediatric intracranial aneurysms: comparison with an adult population in a 30-year, prospective database. J Neurosurg Pediatr. 2021;28(6):685-694."},{"issue":"8","key":"bib5","series-title":"Stroke","first-page":"2091","article-title":"Long-term excess mortality in pediatric patients with cerebral aneurysms","volume":"43","author":"Koroknay-P\u00e1l","year":"2012","unstructured":"Koroknay-P\u00e1l PLaakso ALehto HLong-term excess mortality in pediatric patients with cerebral aneurysms. 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