Sano K, Ueda Y, Saito I
Childs Brain. 1978;4(1):38-46. doi: 10.1159/000119760.
45 cases of subarachnoid hemorrhage in children were surveyed. 73 percent of the causes were arteriovenous malformations and spontaneous intracerebral hematomata. Arteriovenous malformations in children may grow in size which may be due to the fact that besides the nidus demonstrated by angiography there are surrounding abnormal vascular groups, the reserved nidus. If one fails to extirpate this reserve nidus at the time of surgical excision of the arteriovenous malformation, it may become nidus several years later and may bleed again. The follow-up results of surgery in subarachnoid hemorrhage cases were fairly good.
对45例儿童蛛网膜下腔出血病例进行了调查。73%的病因是动静脉畸形和自发性脑内血肿。儿童动静脉畸形可能会增大,这可能是因为除了血管造影显示的病灶外,还有周围异常血管群,即残留病灶。如果在手术切除动静脉畸形时未能切除这个残留病灶,几年后它可能会成为病灶并可能再次出血。蛛网膜下腔出血病例的手术随访结果相当不错。