Early posttraumatic subarachnoid hemorrhage due to dissecting aneurysms in three children.
Subarachnoid hemorrhage (SAH) due to a ruptured saccular aneurysm is uncommon in children. Pediatric traumatic aneurysms have been reported relatively frequently, tending to bleed after an interval of weeks after head injury. The authors describe three children with acute SAH after head injury caused by intracranial dissecting aneurysms. When head trauma in children is complicated by SAH in basal cisterns, dissecting aneurysms should be considered and treated, because rebleeding may occur.
Kneyber
M C J
MC
Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands.
Rinkel
G J E
GJ
Ramos
L M P
LM
Tulleken
C A F
CA
Braun
K P J
KP
D000208:Acute Disease; D000367:Age Factors; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D001921:Brain / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D001929:Brain Edema / Q000209:etiology / Q000503:physiopathology; D002536:Cerebral Arteries / Q000293:injuries* / Q000473:pathology* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications*; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology