Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.

RMayberg, M; HBatjer, H; RDacey,; MDiringer,; CHaley, E; CHeros, R; LSternau, L; JTorner,; PAdams, H; WFeinberg,

doi:10.1161/01.str.25.11.2315

Cited by 750 publications

(182 citation statements)

References 305 publications

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“…When they rupture, cerebral aneurysms are lethal nearly 50% of the time [2]. Accordingly, treatments that prevent rupture, by eliminating flow into and out of the aneurysmal sac, are critically important to global health.…”

Section: Introductionmentioning

confidence: 99%

Flow diverter effect on cerebral aneurysm hemodynamics: an in vitro comparison of telescoping stents and the Pipeline

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Flow diverter effect on cerebral aneurysm hemodynamics: an in vitro comparison of telescoping stents and the Pipeline

et al. 2013

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“…Despite such high prevalence, headache as a chief complaint is rare in the paediatric emergency room.Actually, very seldom cases secondary to life threatening conditions as non-traumatic subarachnoid haemorrhage (NTSH) are seen 1,2 .Accordingly, the data regarding the occurrence of NTSH in childhood are scant. Previous reports suggest that an arteriovenous malformation of the brain is the most frequent cause of this condition in children 13 , a condition by far more prevalent in adults 14 .…”

Section: Discussionmentioning

confidence: 96%

Ventricular arteriovenous malformation bleeding: a rare cause of headache in children. Case report

Silva¹,

Silva

Paschoal

et al. 2004

Arq. Neuro-Psiquiatr.

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-Headache as a chief complaint is rare in the paediatric emergency room.Actually, very seldom cases secondary to life threatening conditions as non-traumatic subarachnoid haemorrhage have been reported. A child with severe headache and nuchal rigidity and no other abnormalities on the physical examination is reported. Magnetic resonance angiography and cerebral angiography disclosed a ventricular arteriovenous malformation in the choroid plexus, supplied by the anterior choroidal artery, classified according to Spetzler grading system as grade 3 (deep venous drainage: 1; eloquence area: 0 and size: 2).The differences in the clinical presentations of the central nervous system arteriovenous malformation between children and adults are discussed.KEY WORDS: secondary headache in children, arteriovenous malformation of the brain, pediatric stroke. Hemorragia cerebral secundária a malformação artério-venosa ventricular: uma causa rara de cefaléia na infân-cia. Relato de casoRESUMO -Cefaléia como queixa principal raramente ocorre num serviço de emergência pediátrica. Quando isso acontece, casos de cefaléia secundária que trazem risco de vida, tais como a hemorragia subaracnóide são raramente relatados. Apresentamos o caso de uma criança que apresentou cefaléia de forte intensidade associada a rigidez de nuca, sem outras anormalidades no exame físico. A angioressonância e angiografia digital evidenciaram malformação arteriovenosa na topografia do plexo coróide do ventrículo lateral direito, nutrida pela artéria coroidéia anterior, grau III na classificação de Spetzler (drenagem venosa profunda: 1; área de eloqüência: 0 e tamanho: 2). Nós discutimos as diferenças na apresentação clínica das malformações arteriovenosas encefálicas nas crianças e adultos. PALAVRAS-CHAVE: cefaléia secundária, malformação arteriovenosa do encéfalo, malformação arteriovenosa ventricular.A headache due to a hemorrhagic stroke is a life-threatening clinical condition rarely seen in a paediatric emergency department 1,2 .When it occurs, an arteriovenous malformation should be ruled out. The arteriovenous malformation of the brain (AVM) accounts for 30% to 50% of such hemorrhagic strokes in children [3][4][5][6] and it has been associated with a 25% mortality rate 7 . On the other hand, the ventricular location is found in only 4% of the AVM in childhood 8 ; and in 1,3% of the adult's AVM 9 . We report a child with a history of sudden headache secondary to a bleeding of a ventricular arteriovenous malformation. CASEA 9-year-old previously healthy girl was admitted to the Emergency Room with an eight-hour history of sudden onset of severe headache. The pain was pulsatile and bilateral and not accompanied by other symptoms. There is no history of migraine, epilepsy or stroke. Parents reported that soon after the onset of the headache the patient

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“…31) The wrapping procedure is safe and durable, so can prevent aneurysmal growth or hemorrhage. However, wrapping has a re-rupture rate of 12-18%, 2,4,6,13,21,22,30) indicating insufficient safety and durability to prevent re-rupture and re-growth after treatment. Incomplete wrapping has resulted in many cases of re-rupture.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Fusiform Aneurysm of the Proximal Anterior Cerebral Artery (A1 Segment) -Case Report-

Aoki¹,

Nemoto²,

Yokota

et al. 2007

Neurol. Med. Chir.(Tokyo)

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A 42-year-old man presented with a ruptured fusiform aneurysm of the proximal anterior cerebral artery (A 1 segment) manifesting as sudden onset of severe headache. Brain computed tomography revealed subarachnoid hemorrhage in the basal cisterns, and left carotid angiography demonstrated a fusiform aneurysm of the left A 1 segment. He underwent surgery via the left pterional approach. The left A 1 segment exhibited a fusiform configuration. Adequate development of the anterior communicating artery was confirmed. Trapping of the aneurysm was performed. The aneurysm was associated with atherosclerotic changes. The postoperative course was uneventful, and the patient was discharged without neurological deficits 1 month after surgery. Fusiform aneurysm of the A 1 segment is quite rare, and tends to bleed, so must be treated. The atherosclerotic origin indicates long-term follow up to identify subsequent lesions.

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Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.

Cited by 750 publications

References 305 publications

Flow diverter effect on cerebral aneurysm hemodynamics: an in vitro comparison of telescoping stents and the Pipeline

Flow diverter effect on cerebral aneurysm hemodynamics: an in vitro comparison of telescoping stents and the Pipeline

Ventricular arteriovenous malformation bleeding: a rare cause of headache in children. Case report

Ruptured Fusiform Aneurysm of the Proximal Anterior Cerebral Artery (A1 Segment) -Case Report-

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