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Review
. 2016 Dec 28;7(Suppl 44):S1121-S1126.
doi: 10.4103/2152-7806.196919. eCollection 2016.

Management of intracerebral hemorrhage in pediatric neurosurgery

Affiliations
Review

Management of intracerebral hemorrhage in pediatric neurosurgery

Visish M Srinivasan et al. Surg Neurol Int. .
No abstract available

Keywords: Arteriovenous malformation; cavernoma; cavernous malformation; intracerebral hemorrhage; intracranial hemorrhage; neurovascular.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Left frontal hemorrhagic lesion from Case 1. (a) Computed tomography of the head at presentation showed a 9 × 4 × 4 cm hematoma with midline shift. (b) Magnetic resonance imaging brain, T2 sequence showed surrounding vessels but no definite arteriovenous malformation nidus around the large hematoma. (c) Left internal carotid artery digital subtraction angiogram at presentation, without evidence of vascular malformation. (d) Left internal carotid artery digital subtraction angiogram at 4 months post-hemorrhage reveals a left temporal Grade 1 arteriovenous malformation (arrow)
Figure 2
Figure 2
Right cerebellar hemorrhagic lesion from Case 2. (a) Computed tomography of the head at presentation showed a large hemorrhage of the right cerebellar hemisphere with displacement of the fourth ventricle. (b) Magnetic resonance imaging brain, T2 sequence showed perilesional edema and some associated vessels. (c) Right vertebral artery injection DynaCT, coronal view, showed an arteriovenous malformation with feeders from the right anterior and posterior cerebellar arteries. (d) Postoperative angiogram, AP projection, showed no residual malformation
Figure 3
Figure 3
Left frontal hemorrhage from Case 3. (a) Computed tomography of the head showed a large left frontal intracerebral hemorrhage with subfalcine shift and perilesional edema. (b) Computed tomography with contrast showed partial enhancement of the lesion without any vascular feeders. (c) Magnetic resonance imaging brain, gradient echo sequence, showed a central lesion with surrounding hemorrhage, suggestive of cavernous malformation. (d) Postoperative magnetic resonance imaging brain with contrast showed complete resection of the lesion and hematoma, with resolution of mass effect

References

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