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• W2048873301 abstract "<i>Aim:</i> Spontaneous intracranial hemorrhage (SICH) in children is relatively less common as compared to adults, and there are limited studies addressing this issue in children. In this study, we analyze the etiology, clinical features, treatment options and outcome assessment in this population. <i>Material and Methods:</i> Fifty consecutive patients of spontaneous intracerebral bleed, aged 18 years and below, were retrospectively analyzed based on medical records and radiographic images. Status of the patient at the final follow-up after discharge was considered as the outcome. <i>Results:</i> Age of patients ranged from 2 months to 17 years with higher predilection in males (M:F = 3:2). Presenting features were symptoms of raised intracranial pressure (70.0%), deterioration in sensorium (50.0%), limb weakness (36.0%) and seizures (28%). Arteriovenous malformation (AVM) was the most common cause of hemorrhage, and was found in 22 patients (44%), followed by cerebral aneurysm in 17 cases (34%), moyamoya disease in 3 cases (6%), and intracranial tumor, hematological disorders and unknown cause (possible vasculitis) were each found in 2 patients (4%). Treatment modalities consisted of: excision of AVM, aneurysm clipping, embolization, superficial temporal artery to middle cerebral artery bypass, tumor excision, hematoma evacuation and conservative management. Thirty-five patients (74%) had good outcome and 13 patients had poor outcome (26%). <i>Conclusions:</i> Aneurysm is an important cause of SICH, alongside AVM, which is the leading cause. Thorough investigation is necessary to elucidate the cause of bleed, which may otherwise be missed. Cerebellar bleed and late presentation were found to be associated with poor outcome. Age was not found to be associated with outcome." @default.
• W2048873301 created "2016-06-24" @default.
• W2048873301 creator A5003458940 @default.
• W2048873301 creator A5031140914 @default.
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• W2048873301 date "2009-01-01" @default.
• W2048873301 modified "2023-09-26" @default.
• W2048873301 title "Spontaneous Intracranial Hemorrhage in Children" @default.
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• W2048873301 doi "https://doi.org/10.1159/000202622" @default.
• W2048873301 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19221461" @default.
• W2048873301 hasPublicationYear "2009" @default.
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