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Rechtsmedizin

, Volume 20, Issue 6, pp 504–509 | Cite as

Zerebrales Aneurysma bei einem 10-jährigen Mädchen

Fallbericht und Literaturübersicht
  • E. DoberentzEmail author
  • P. Niehusmann
  • K. Kuchelmeister
  • B. Madea
Kasuistiken

Zusammenfassung

Ursache für eine Subarachnoidalblutung (SAB) sind meist Rupturen angeborener und degenerativ veränderter Aneurysmen der Hirnbasisarterien. Der Altersgipfel der SAB liegt um das 50. Lebensjahr. Eine unerwartete SAB im Kindesalter kann diagnostische Probleme bereiten. Es wird von einem 10-jährigen Mädchen berichtet, das bei starken Nackenschmerzen und Erbrechen ohne Meningismuszeichen nach ärztlicher Untersuchung zu Hause verstarb. Bei der rechtsmedizinischen Sektion fand sich ein großes Aneurysma der rechtsseitigen A. cerebri posterior mit intrazerebraler Wühlblutung und Einbruch in das Ventrikelsystem. Die nur gering ausgeprägte SAB-Ansammlung könnte die fehlenden Meningismuszeichen erklären. Nur 1–2% aller symptomatischen intrazerebralen Aneurysmata betreffen Patienten unter 18 Jahren; hierbei ist die A. cerebri posterior häufig (48%) betroffen.

Schlüsselworte

Kinder Subarachnoidale Blutung Zerebrale Aneurysmen 

Cerebral aneurysm in a 10-year-old girl

Case report and literature review

Abstract

Subarachnoid hemorrhages are usually caused by congenital or degenerative aneurysms of the circulus arteriosus cerebri. Subarachnoid hemorrhaging reaches a peak at the age of 50 so that an unexpected subarachnoid hemorrhage in childhood can cause diagnostic problems. The case of a 10-year-old girl who died after a medical examination for severe headache and vomiting without signs of irritation of the meninges (meningism) is reported. The forensic autopsy revealed a giant aneurysm of the posterior cerebral artery with intracerebral haemorrhaging and infiltration of the ventricular system. The lacking signs of meningism could be explained by the weakly expressed subarachnoid haemorrhage. Only 1–2% of all symptomatic intracerebral aneurysms occur in patients under 18 years and the posterior cerebral artery is commonly affected (48%).

Keywords

Cerebral aneurysms Children Subarachnoid hemorrhage 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • E. Doberentz
    • 1
    Email author
  • P. Niehusmann
    • 2
  • K. Kuchelmeister
    • 2
  • B. Madea
    • 1
  1. 1.Institut für RechtsmedizinUniversitätsklinikum BonnBonnDeutschland
  2. 2.Institut für NeuropathologieUniversitätsklinikum BonnBonnDeutschland

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