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Quantitative indices for an intracranial aneurysm and subarachnoid hemorrhage in early childhood: a case report.


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

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Publications

Quantitative indices for an intracranial aneurysm and subarachnoid hemorrhage in early childhood: a case report.

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]

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