{"id":"https://openalex.org/W7140911208","doi":"https://doi.org/10.1227/neu.0000000000003964_1142","title":"1142 Management and Outcomes of Pediatric Giant Intracranial Aneurysms: A Retrospective Cohort Study","display_name":"1142 Management and Outcomes of Pediatric Giant Intracranial Aneurysms: A Retrospective Cohort Study","publication_year":2026,"publication_date":"2026-03-26","ids":{"openalex":"https://openalex.org/W7140911208","doi":"https://doi.org/10.1227/neu.0000000000003964_1142"},"language":"en","primary_location":{"id":"doi:10.1227/neu.0000000000003964_1142","doi":"https://doi.org/10.1227/neu.0000000000003964_1142","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000003964_1142","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090025333","display_name":"Kate N. Jensen","orcid":"https://orcid.org/0000-0003-4520-7956","observed_orcids":["https://orcid.org/0000-0003-4520-7956"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kate Jensen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066031961","display_name":"Adam T. Eberle","orcid":"https://orcid.org/0009-0003-3905-7338","observed_orcids":["https://orcid.org/0009-0003-3905-7338"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adam T. Eberle","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130699897","display_name":"Christopher Chang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christopher Chang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130652414","display_name":"Sudarshan Ramanan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sudarshan Ramanan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130673111","display_name":"Anna Huguenard","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anna Huguenard","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031605441","display_name":"Redi Rahmani","orcid":"https://orcid.org/0000-0003-3161-2125","observed_orcids":["https://orcid.org/0000-0003-3161-2125"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Redi Rahmani","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066270741","display_name":"Ashutosh Jadhav","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ashutosh Jadhav","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Felipe Albuquerque","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Felipe Albuquerque","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103129900","display_name":"Andrew F. Ducruet","orcid":"https://orcid.org/0000-0002-9185-0849","observed_orcids":["https://orcid.org/0000-0002-9185-0849","https://orcid.org/0000-0002-6670-5607"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrew F. Ducruet","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5089312606","display_name":"Michael T. Lawton","orcid":"https://orcid.org/0000-0002-8020-6388","observed_orcids":["https://orcid.org/0000-0002-8020-6388","https://orcid.org/0000-0002-1887-3980"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael T. Lawton","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"72","issue":"Supplement_1","first_page":"218","last_page":"218"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11402","display_name":"Vascular Malformations Diagnosis and Treatment","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12747","display_name":"Moyamoya disease diagnosis and treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/microsurgical-treatment","display_name":"microsurgical treatment","score":0.8489999771118164},{"id":"https://openalex.org/keywords/aneurysm-revascularization","display_name":"aneurysm revascularization","score":0.7570000290870667},{"id":"https://openalex.org/keywords/bypass-surgery","display_name":"bypass surgery","score":0.6420000195503235},{"id":"https://openalex.org/keywords/intraoperative-rupture","display_name":"intraoperative rupture","score":0.8199999928474426},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9229999780654907},{"id":"https://openalex.org/keywords/vasospasm","display_name":"vasospasm","score":0.781000018119812},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.550000011920929},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.6579999923706055},{"id":"https://openalex.org/keywords/aneurysm-recanalization","display_name":"aneurysm recanalization","score":0.8700000047683716},{"id":"https://openalex.org/keywords/middle-cerebral-artery-aneurysm","display_name":"middle cerebral artery aneurysm","score":0.8460000157356262},{"id":"https://openalex.org/keywords/basilar-artery-aneurysm","display_name":"basilar artery aneurysm","score":0.9639999866485596}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9735999703407288},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.8065000176429749},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.6057000160217285},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5130000114440918},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.38089999556541443},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.36660000681877136},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3246999979019165},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.31360000371932983},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.25279998779296875}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1227/neu.0000000000003964_1142","doi":"https://doi.org/10.1227/neu.0000000000003964_1142","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000003964_1142","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1532499789","https://openalex.org/W3164260391","https://openalex.org/W4317606259","https://openalex.org/W2084196134","https://openalex.org/W4367047767","https://openalex.org/W2306843492","https://openalex.org/W3030308772","https://openalex.org/W2011674685","https://openalex.org/W4410003843","https://openalex.org/W4323669629"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Giant":[1,219],"intracranial":[2],"aneurysms,":[3],"defined":[4],"as":[5],"those":[6],"measuring":[7],"over":[8],"25":[9],"mm":[10],"in":[11,16,45,159,203,221,253],"diameter,":[12],"are":[13],"exceptionally":[14],"rare":[15],"the":[17,40,115,237,247,254],"pediatric":[18,60,257],"population.":[19],"These":[20,244],"lesions":[21],"often":[22,227],"present":[23],"with":[24,66,105,149],"complex":[25,224],"anatomy":[26],"and":[27,31,72,89,102,138,172,234],"mass":[28],"effect":[29],"symptoms,":[30],"their":[32,231],"management":[33,255],"remains":[34],"a":[35,106,192],"major":[36],"surgical":[37,83],"challenge.":[38],"Given":[39],"limitations":[41],"of":[42,58,109,188,239,249,256],"endovascular":[43],"options":[44],"children,":[46],"microsurgical":[47,147,225],"treatment":[48],"is":[49],"frequently":[50],"required.":[51],"METHODS:":[52],"A":[53],"retrospective":[54],"review":[55],"was":[56,180],"conducted":[57],"14":[59],"patients":[61,145,189,205,240],"(age":[62],"range:":[63],"1\u201316":[64],"years)":[65],"giant":[67,258],"aneurysms":[68,220],"treated":[69],"between":[70],"1991":[71],"2013.":[73],"Data":[74],"collected":[75],"included":[76,99,114,165],"demographics,":[77],"aneurysm":[78,216],"characteristics":[79],"(location,":[80],"size,":[81],"morphology),":[82],"approach,":[84],"intraoperative":[85],"complications,":[86],"postoperative":[87],"outcomes,":[88],"follow-up":[90],"modified":[91],"Rankin":[92],"Scale":[93],"(mRS)":[94],"scores.":[95],"RESULTS:":[96],"The":[97,176],"cohort":[98],"10":[100],"males":[101],"4":[103],"females,":[104],"median":[107,177],"age":[108],"11":[110],"years.":[111],"Aneurysm":[112],"locations":[113],"middle":[116],"cerebral":[117],"artery":[118,123,129],"(n":[119,124,130,135,141],"=":[120,125,131,136,142],"5),":[121],"basilar":[122],"3),":[126,132],"internal":[127],"carotid":[128],"posterior":[133],"circulation":[134,140],"2),":[137],"anterior":[139],"1).":[143],"All":[144],"underwent":[146],"treatment,":[148],"57%":[150],"(8/14)":[151],"requiring":[152],"revascularization":[153],"via":[154],"bypass.":[155,229],"Intraoperative":[156],"rupture":[157],"occurred":[158],"3":[160,204],"cases":[161],"(21%).":[162,206],"Postoperative":[163],"complications":[164],"stroke":[166],"(14%),":[167],"vasospasm":[168],"(7%),":[169,171],"seizures":[170],"wound":[173],"infection":[174],"(7%).":[175],"hospital":[178],"stay":[179],"13":[181],"days":[182],"(range:":[183],"4\u201349).":[184],"At":[185],"discharge,":[186],"64%":[187],"(9/14)":[190],"had":[191],"good":[193],"functional":[194],"outcome":[195],"(mRS":[196],"0\u20132).":[197],"New":[198],"neurological":[199],"deficits":[200],"were":[201],"observed":[202],"No":[207],"re-ruptures":[208],"occurred,":[209],"although":[210],"one":[211],"patient":[212],"required":[213],"reoperation":[214],"for":[215],"recanalization.":[217],"CONCLUSIONS:":[218],"children":[222],"demand":[223],"strategies,":[226],"including":[228],"Despite":[230],"technical":[232],"difficulty":[233],"risk":[235],"profile,":[236],"majority":[238],"achieved":[241],"favorable":[242],"outcomes.":[243],"results":[245],"highlight":[246],"importance":[248],"experienced":[250],"multidisciplinary":[251],"care":[252],"aneurysms.":[259]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-03-27T00:00:00"}
