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1岁以内儿童的动脉瘤性蛛网膜下腔出血:病例报告及文献复习

Aneurysmal subarachnoid hemorrhage in the first year of life: case report and review of the literature.

作者信息

Elgamal Essam A, Murshid Waleed R, Abu-Rahma Hesham M, Samir Deema

机构信息

Neurosurgery Department, King Khalid University Hospital and College of Medicine, Riyadh, Saudi Arabia.

出版信息

Childs Nerv Syst. 2004 Jul;20(7):489-93. doi: 10.1007/s00381-003-0891-1. Epub 2004 Mar 17.

Abstract

INTRODUCTION

Primary subarachnoid hemorrhage is rare in infancy. A bleeding arterial aneurysm as its cause is even less frequent. A review of the literature turned up 85 cases of cerebral aneurysm that occurred in the 1st year of life, 63 of them presenting with subarachnoid hemorrhage (SAH).

CASE REPORT

The authors report a case of an 8-month-old boy who presented with seizures due to ruptured anterior communicating (ACom) artery aneurysm with subsequent subarachnoid and intraventricular hemorrhage. The infant was operated successfully, without complications.

DISCUSSION

In this report the authors highlight certain clinical and diagnostic features, surgical considerations, and outcomes of aneurysmal subarachnoid hemorrhage in the 1st year of life.

摘要

引言

原发性蛛网膜下腔出血在婴儿期较为罕见。由出血性动脉瘤引起的情况则更为少见。文献回顾发现,85例脑动脉瘤发生于生命的第1年,其中63例表现为蛛网膜下腔出血(SAH)。

病例报告

作者报告了1例8个月大男孩,因前交通(ACom)动脉动脉瘤破裂导致癫痫发作,随后出现蛛网膜下腔和脑室内出血。该婴儿手术成功,无并发症。

讨论

在本报告中,作者强调了生命第1年动脉瘤性蛛网膜下腔出血的某些临床和诊断特征、手术考量及结果。

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