Intracranial hemorrhage due to rupture of an arteriovenous malformation in a full-term neonate

Hayashi, Nakamasa; Endo, Shunro; Oka, Naoki; Takeda, Shigenori; Takaku, Akira

doi:10.1007/bf00335177

Cited by 16 publications

(2 citation statements)

References 10 publications

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“…In 8 cases (12%) the diagnosis was not reached until autopsy [15,19,76,80]. Nineteen infants (29%) had ICH due to AVM rupture [5,13,17,30,32,41,56,64,71,72,84,87,93,96]. The bleed from the AVM was (in declining order of frequency), intraventricular [5,13,27,32,41,72], intracerebral [30,41,87,89,93] and/or subdural [5, 56,71,89].…”

Section: Arteriovenous Malformations In Infantsmentioning

confidence: 97%

“…(H&E) failure, transient neurological deficits, permanent neurological compromise and even death. It has been suggested that digital subtraction angiography with the intravenous contrast injected through the umbilical vein [28,45] or a peripheral vein [30] has fewer complications than intraarterial angiography, but then the image resolution is far from optimal. On the other hand, magnetic resonance angiography (MRA) technology has evolved at a tremendous pace in recent years.…”

Section: Diagnosing the Ich In An Infantmentioning

confidence: 99%

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Spontaneous intracranial hemorrhage of structural origin during the first year of life

Tekkök

Ventureyra

1997

Child's Nervous System

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Symptomatic intracranial hemorrhage (ICH) in term infants is not common, but when it occurs it is usually secondary to trauma, coagulation disorders and/or hypoxia. The possibility of a structural cause for an infantile ICH is unfortunately not seriously considered until very late. In this paper we report the cases of five full-term infants, each of whom developed ICH secondary to a structural lesion during the 1st year of life. Three presented during the newborn period. A congenital saccular aneurysm of the middle cerebral artery in an 8-month old male infant; a posterior fossa arteriovenous malformation in a 2-week old female neonate; a deep parietal cavernous angioma in a 6.5-month-old male infant; a temporoparietal low-grade astrocytoma in a 12-day old male neonate and a temporoparietal desmoplastic ganglioglioma in a 9-day-old male neonate were the structural lesions that were causative for hemorrhage. In all cases but one, the diagnosis was reached by computerized tomography and/or magnetic resonance imaging. All infants underwent surgery for the removal of the hematoma and of the lesion causative for the bleed. All are alive at 19, 3, 11.5, 10, and 5 years, respectively. We discuss the diagnosis of ICH with special emphasis on contemporary imaging modalities and stress the benefits of aggressive and timely surgical treatment. We then consider a concise analysis of the world literature on the occurrence of structural causes of ICH during infancy.

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