Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country
Intracerebral hemorrhage (ICH) in children is a rare but disabling disease that accounts for almost half cases of stroke. We report our experience of ICH in children. Retrospective review of medical records of children (1 month-16 years) admitted in Pediatric Intensive Care Unit between January 2007...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/9124245 |
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| author | Qalab Abbas Qurat ul Ain Merchant Bushra Nasir Anwar ul Haque Basit Salam Gohar Javed |
| author_facet | Qalab Abbas Qurat ul Ain Merchant Bushra Nasir Anwar ul Haque Basit Salam Gohar Javed |
| author_sort | Qalab Abbas |
| collection | DOAJ |
| description | Intracerebral hemorrhage (ICH) in children is a rare but disabling disease that accounts for almost half cases of stroke. We report our experience of ICH in children. Retrospective review of medical records of children (1 month-16 years) admitted in Pediatric Intensive Care Unit between January 2007 and December 2014 was done. Data collected included age, gender, presentation, examination findings, neuroimaging done (CT, MRI, and angiography) management (conservative/intervention), and outcome. Results are presented as frequency and percentages. Of the total 50 patients, 58% were male and 26% were <1 year. On presentation 44% had vomiting, 42% had seizures, and GCS < 8 while 40% had altered level of consciousness. Single bleed was present in 88%, 94% had supratentorial bleed, and 32% had intraventricular extension. 72% had bleed volume of <30 mL and 8% had >60 mL. CT scan was done in 98% patients and MRI in 34%, while 6% underwent conventional angiography. 60% patients were managed conservatively, 36% underwent neurosurgical intervention, and 6% underwent radiological vascular intervention. Hematologic causes were identified in 52% patients and vascular malformations in 14% and in 26% no cause could be identified. 26% of patients expired. |
| format | Article |
| id | doaj-art-e57e5fc85b6841e0b5f400579c48f724 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-e57e5fc85b6841e0b5f400579c48f7242025-02-03T06:05:22ZengWileyCritical Care Research and Practice2090-13052090-13132016-01-01201610.1155/2016/91242459124245Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited CountryQalab Abbas0Qurat ul Ain Merchant1Bushra Nasir2Anwar ul Haque3Basit Salam4Gohar Javed5Department of Pediatrics and Child Health, Aga Khan University, Karachi, PakistanDepartment of Pediatrics and Child Health, Aga Khan University, Karachi, PakistanDepartment of Pediatrics and Child Health, Aga Khan University, Karachi, PakistanDepartment of Pediatrics and Child Health, Aga Khan University, Karachi, PakistanDepartment of Radiology, Aga Khan University, Karachi, PakistanDepartment of Surgery, Section of Neurosurgery, Aga Khan University, Karachi, PakistanIntracerebral hemorrhage (ICH) in children is a rare but disabling disease that accounts for almost half cases of stroke. We report our experience of ICH in children. Retrospective review of medical records of children (1 month-16 years) admitted in Pediatric Intensive Care Unit between January 2007 and December 2014 was done. Data collected included age, gender, presentation, examination findings, neuroimaging done (CT, MRI, and angiography) management (conservative/intervention), and outcome. Results are presented as frequency and percentages. Of the total 50 patients, 58% were male and 26% were <1 year. On presentation 44% had vomiting, 42% had seizures, and GCS < 8 while 40% had altered level of consciousness. Single bleed was present in 88%, 94% had supratentorial bleed, and 32% had intraventricular extension. 72% had bleed volume of <30 mL and 8% had >60 mL. CT scan was done in 98% patients and MRI in 34%, while 6% underwent conventional angiography. 60% patients were managed conservatively, 36% underwent neurosurgical intervention, and 6% underwent radiological vascular intervention. Hematologic causes were identified in 52% patients and vascular malformations in 14% and in 26% no cause could be identified. 26% of patients expired.http://dx.doi.org/10.1155/2016/9124245 |
| spellingShingle | Qalab Abbas Qurat ul Ain Merchant Bushra Nasir Anwar ul Haque Basit Salam Gohar Javed Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country Critical Care Research and Practice |
| title | Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country |
| title_full | Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country |
| title_fullStr | Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country |
| title_full_unstemmed | Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country |
| title_short | Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country |
| title_sort | spectrum of intracerebral hemorrhage in children a report from picu of a resource limited country |
| url | http://dx.doi.org/10.1155/2016/9124245 |
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