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

Kenichi Tetsuhara; Noriyuki Kaku; Koichi Arimura; Yasunari Sakai; Shouichi Ohga

doi:10.1186/s12883-022-03022-4

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

Kenichi Tetsuhara, Noriyuki Kaku, Koichi Arimura, Yasunari Sakai, Shouichi Ohga

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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.

Original language	English
Article number	488
Journal	BMC neurology
Volume	22
Issue number	1
DOIs	https://doi.org/10.1186/s12883-022-03022-4
Publication status	Published - Dec 2022

All Science Journal Classification (ASJC) codes

Clinical Neurology

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title = "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.",

author = "Kenichi Tetsuhara and Noriyuki Kaku and Koichi Arimura and Yasunari Sakai and Shouichi Ohga",

note = "Funding Information: This study was supported in part by JSPS KAKENHI grant number JP20K10832 (N. Kaku). The. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

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T2 - a case report

AU - Tetsuhara, Kenichi

AU - Kaku, Noriyuki

AU - Arimura, Koichi

AU - Sakai, Yasunari

AU - Ohga, Shouichi

PY - 2022/12

Y1 - 2022/12

N2 - 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.

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

Abstract

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