Ontology highlight
ABSTRACT: Background
Intracranial aneurysms (ICA) rarely occur in children under 3 years of age. Little is known for neuroimaging parameters that predict survival and clinical outcomes of patients with ICA in early childhood.Case presentation
A 2-year-old girl showed intracranial hemorrhage due to a rupture of aneurysm at the middle cerebral artery. Quantitative measurements of ischemic damages on the head computed tomography (CT) marked an extremely low score of 2 points with modified Alberta Stroke Program Early CT Score (mASPECTS). She died 15 days after admission. In publications from 2021 to 2022, we found 21 children who were under 3 years of age at onset of ICA. None of them died, but two of three patients who had mASPECTS scores 0-8 showed developmental delay and/or epilepsy as neurological complications.Conclusion
Early CT findings are applicable for predicting survival and neurological outcomes of young children with intracranial hemorrhage.
SUBMITTER: Tetsuhara K
PROVIDER: S-EPMC9761937 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Tetsuhara Kenichi K Kaku Noriyuki N Arimura Koichi K Sakai Yasunari Y Ohga Shouichi S
BMC neurology 20221219 1
<h4>Background</h4>Intracranial aneurysms (ICA) rarely occur in children under 3 years of age. Little is known for neuroimaging parameters that predict survival and clinical outcomes of patients with ICA in early childhood.<h4>Case presentation</h4>A 2-year-old girl showed intracranial hemorrhage due to a rupture of aneurysm at the middle cerebral artery. Quantitative measurements of ischemic damages on the head computed tomography (CT) marked an extremely low score of 2 points with modified Alb ...[more]