Child's Nervous System

, Volume 13, Issue 3, pp 154–165

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

  • Ismail H. Tekkök
  • E. C. G. Ventureyra
ORIGINAL PAPER

DOI: 10.1007/s003810050061

Cite this article as:
Tekkök, I. & Ventureyra, E. Child's Nerv Syst (1997) 13: 154. doi:10.1007/s003810050061

Abstract

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.

Key words Aneurysm Arteriovenous malformation Cavernous angioma Infancy Intracranial hemorrhage Spontaneous 

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • Ismail H. Tekkök
    • 1
  • E. C. G. Ventureyra
    • 1
  1. 1.Division of Neurosurgery, Children's Hospital of Eastern Ontario, 401 Smyth, Ottawa, ON K1H 8L1, Canada, Tel.: (613) 737-2316, Fax: (613) 738-4228CA
  2. 2.University of Ottawa, Faculty of Medicine, Ottawa, Ontario, CanadaCA