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Tetsuhara K, Kaku N, Arimura K, Sakai Y, Ohga S. Quantitative indices for an intracranial aneurysm and subarachnoid hemorrhage in early childhood: a case report. BMC Neurol 2022; 22:488. [PMID: 36536327 PMCID: PMC9761937 DOI: 10.1186/s12883-022-03022-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 12/10/2022] [Indexed: 12/23/2022] Open
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.
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Affiliation(s)
- Kenichi Tetsuhara
- grid.177174.30000 0001 2242 4849Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan ,grid.411248.a0000 0004 0404 8415Emergency and Critical Care Center, Kyushu University Hospital, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan ,grid.410810.c0000 0004 1764 8161Present address: Department of Critical Care Medicine, Fukuoka Children’s Hospital, 5-1-1, Kashii-Teriha, Higashi-ku, Fukuoka, 813-0017 Japan
| | - Noriyuki Kaku
- grid.177174.30000 0001 2242 4849Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan ,grid.411248.a0000 0004 0404 8415Emergency and Critical Care Center, Kyushu University Hospital, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan
| | - Koichi Arimura
- grid.177174.30000 0001 2242 4849Department of Neurosurgery, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan
| | - Yasunari Sakai
- grid.177174.30000 0001 2242 4849Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan
| | - Shouichi Ohga
- grid.177174.30000 0001 2242 4849Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan
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