Quantitative indices for an intracranial aneurysm and subarachnoid hemorrhage in early childhood: a case report.
And children
Intracranial aneurysm
Modified Alberta stroke program early CT score (mASPECTS)
Outcome
Journal
BMC neurology
ISSN: 1471-2377
Titre abrégé: BMC Neurol
Pays: England
ID NLM: 100968555
Informations de publication
Date de publication:
19 Dec 2022
19 Dec 2022
Historique:
received:
03
05
2022
accepted:
10
12
2022
entrez:
19
12
2022
pubmed:
20
12
2022
medline:
22
12
2022
Statut:
epublish
Résumé
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. 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. Early CT findings are applicable for predicting survival and neurological outcomes of young children with intracranial hemorrhage.
Sections du résumé
BACKGROUND
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
METHODS
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
CONCLUSIONS
Early CT findings are applicable for predicting survival and neurological outcomes of young children with intracranial hemorrhage.
Identifiants
pubmed: 36536327
doi: 10.1186/s12883-022-03022-4
pii: 10.1186/s12883-022-03022-4
pmc: PMC9761937
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
488Subventions
Organisme : Japan Society for the Promotion of Science
ID : JP20K10832
Informations de copyright
© 2022. The Author(s).
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