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Published on: April 9, 2019
Non-traumatic intracranial haemorrhage in paediatric age group
B Chidambaram1, V Balasubramaniam1
1Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, India.
Insights
Non-traumatic intracranial hemorrhage in children can stem from diverse causes. A rapid, multidisciplinary approach is crucial for effective management of pediatric brain bleeds.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Medical Imaging
Background:
- Intracranial hemorrhage (ICH) in children presents unique diagnostic and management challenges.
- Non-traumatic causes of ICH are diverse and require thorough etiological investigation.
- Prompt diagnosis and intervention are critical for improving outcomes in pediatric patients with ICH.
Purpose of the Study:
- To review our institutional experience with non-traumatic intracranial hemorrhage in pediatric patients.
- To identify the various etiologies contributing to non-traumatic ICH in this age group.
- To emphasize the significance of a coordinated, multidisciplinary approach in managing pediatric non-traumatic ICH.
Main Methods:
- Retrospective case series analysis of eight pediatric patients diagnosed with non-traumatic intracranial hemorrhage.
- Review of clinical presentations, neuroimaging findings, etiological workup, and treatment strategies.
- Evaluation of the management pathway and patient outcomes.
Main Results:
- Eight cases of non-traumatic intracranial hemorrhage were identified in pediatric patients.
- The underlying causes of ICH were varied, highlighting the heterogeneity of the condition.
- Successful management depended on prompt diagnostic evaluations and tailored therapeutic interventions.
Conclusions:
- Non-traumatic intracranial hemorrhage in children encompasses a spectrum of etiologies.
- A rapid, multidisciplinary team approach involving pediatric neurology, neurosurgery, and critical care is essential.
- Early and accurate diagnosis coupled with timely, coordinated management can significantly impact patient prognosis.
Abstract:
This report describes our experience in eight cases of non traumatic intracranial haemorrhage in paediatric age groups. The causes were varied. The importance of rapid and multidisciplinary approach is detailed.
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