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.

Neurology India
|March 16, 2018
PubMed

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.

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