Clinical feature and outcome of pediatric cerebrovascular disease: a neurosurgical series

Citation
Sk. Kim et al., Clinical feature and outcome of pediatric cerebrovascular disease: a neurosurgical series, CHILD NERV, 16(7), 2000, pp. 421-428
Citations number
25
Categorie Soggetti
Pediatrics
Journal title
CHILDS NERVOUS SYSTEM
ISSN journal
02567040 → ACNP
Volume
16
Issue
7
Year of publication
2000
Pages
421 - 428
Database
ISI
SICI code
0256-7040(200007)16:7<421:CFAOOP>2.0.ZU;2-B
Abstract
To investigate the clinical features and surgical outcome of pediatric cere brovascular disease (CVD), we retrospectively reviewed 280 children (up to 15 years of age) who underwent neurosurgical procedures for CVD between 197 9 and 1998. Open surgery (n=448), endovascular procedures (n=22), and stere otactic radiosurgery (n=14) were the main neurosurgical procedures adopted. Clinical features and surgical outcomes were described according to the et iology of the CVD and the number of years of management. The mean duration of follow-up was 34 months. The mean age was 7.1 years, and I he male-to-fe male ratio was 1.2:1. The most frequent CVD was moyamoya disease (62%). The surgical mortality related to CVD was 0.7%. Eighty-seven percent had Kamof sky Performance Scale scores of more than 70. We demonstrate increasing det ection rates and improving outcomes in recent years. The clinical course in this study shows that recovery from CVD in children is good after neurosur gical procedures.