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[Cerebral haematoma in a 12-year-old girl]

Mia Søndergaard1, Sarah Grunnet, Alfred Peter Born

  • 1BørneUngeKlinikken, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark.

Ugeskrift for Laeger
|June 28, 2012
PubMed

Insights

A pediatric stroke caused by an arteriovenous malformation led to a severe brain bleed in a 12-year-old girl. Prompt diagnosis and surgical intervention resulted in her survival with minimal long-term disability.

Area of Science:

  • Neurology
  • Pediatric Medicine
  • Neurosurgery

Background:

  • Stroke is a significant cause of mortality and morbidity in children.
  • Arteriovenous malformations (AVMs) are a potential cause of pediatric stroke.
  • Early recognition and intervention are critical for improving outcomes in pediatric stroke.

Observation:

  • A 12-year-old girl presented with sudden severe headache and decreased consciousness following an upper respiratory infection.
  • Initial assessment revealed a low Glasgow Coma Scale score and a non-reactive dilated pupil, suggesting increased intracranial pressure.
  • Cerebral computed tomography (CT) identified a large intracerebral hematoma.

Findings:

  • Surgical evacuation of the intracerebral hematoma was performed.
  • The underlying cause of the hemorrhage was identified as an arteriovenous malformation (AVM).
  • The patient survived the event.

Implications:

  • This case highlights the importance of considering stroke in pediatric patients with acute neurological deterioration.
  • Timely diagnosis and neurosurgical management of intracerebral hemorrhage due to AVM can be life-saving.
  • Aggressive treatment can significantly reduce long-term neurological deficits, such as homonymous hemianopsia.

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