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Quantitative indices for an intracranial aneurysm and subarachnoid hemorrhage in early childhood: a case report
被引:0
|作者:
Tetsuhara, Kenichi
[1
,2
,3
]
Kaku, Noriyuki
[1
,2
]
Arimura, Koichi
[4
]
Sakai, Yasunari
[1
]
Ohga, Shouichi
[1
]
机构:
[1] Kyushu Univ, Grad Sch Med Sci, Dept Pediat, 3 1 1,Maidashi,Higashi ku, Fukuoka 8128582, Japan
[2] Kyushu Univ Hosp, Emergency & Crit Care Ctr, 3 1 1,Maidashi,Higashi ku, Fukuoka 8128582, Japan
[3] Fukuoka Childrens Hosp, Dept Crit Care Med, 5 1 1,Kashii Teriha,Higashi ku, Fukuoka 8130017, Japan
[4] Kyushu Univ, Dept Neurosurg, 3 1 1,Maidashi,Higashi ku, Fukuoka 8128582, Japan
关键词:
Intracranial aneurysm;
Modified Alberta stroke program early CT score (mASPECTS);
Outcome;
children;
CHILDREN;
D O I:
10.1186/s12883-022-03022-4
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
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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页数:4
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