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Subarachnoid hemorrhage from brain tumors in childhood

Child's Nervous System volume 3, pages 65–69 (1987)Cite this article

Abstract

Six children are reported in whom subarachnoid hemorrhage was an initial symptom of brain tumor. In our neurosurgical clinics, this represented 3.6% of pediatric brain tumors and showed a frequency equal to eneurysmal rupture among nontraumatic subarachnoid hemorrhage of children. In pediatric patients, hemorrhages from brain tumors occur predominantly in the posterior fossa. The medulloblastoma, which had been believed to bleed rarely, is now realized to be a common source of tumor hemorrhages in such cases. The introduction of CT scan facilitates early recognition of hemorrhagic stroke from brain tumors and prompt management for acute intracranial hypertension and brainstem dysfunction. Although the patients achieve favorable recovery from their initial catastrophic condition, the ultimate prognosis, in the majority of cases, is still rather poor because such hemorrhages usually develop from a malignant tumor. The present and other recent reports indicate that the incidence of hemorrhagic stroke from brain tumors in pediatric patients is much higher than has been thought and is an important cause of subarachnoid hemorrhage in this age group.

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Affiliations

  1. Department of Neurosurgery, University of Occupational and Environmental Health (U.O.E.H.), 1-1, Iseigaoka, Yahata-Nishi-ku, 807, Kitakyushu, Japan

    Akira Yokota, Hidehiko Kajiwara & Shigeaki Matsuoka

  2. Department of Neurosurgery, Kumamoto University Medical School, 860, Kumamoto, Japan

    Masato Kohchi & Yasuhiko Matsukado

Authors
  1. Akira Yokota
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  2. Hidehiko Kajiwara
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  3. Shigeaki Matsuoka
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  4. Masato Kohchi
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  5. Yasuhiko Matsukado
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Yokota, A., Kajiwara, H., Matsuoka, S. et al. Subarachnoid hemorrhage from brain tumors in childhood. Child's Nerv Syst 3, 65–69 (1987). https://doi.org/10.1007/BF00271124

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  • DOI: https://doi.org/10.1007/BF00271124

Key words

  • Subarachnoid hemorrhage
  • Intratumoral hemorrhage
  • Hemorrhagic stroke
  • Intracerebral hemorrhage
  • Brain tumor
  • Children