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April 1953

SPONTANEOUS INTRACRANIAL HEMORRHAGE IN CHILDREN: Report of Eight Cases in Children Fifteen Years of Age or Younger

Author Affiliations


AMA Arch Surg. 1953;66(4):452-460. doi:10.1001/archsurg.1953.01260030467013

SPONTANEOUS intracranial hemorrhage is a condition most frequently found in adults. It does occur in children, however, and, when present, the problems of diagnosis and treatment are, with a few exceptions, very similar to those in adults.

This report concerns spontaneous intracranial hemorrhage in eight children, 15 years of age or younger. All had proved hemorrhage by operation. Two deaths and six recoveries resulted. Four of these children were treated at the University of Minnesota Hospitals and four at other hospitals.

The commonest cause of spontaneous intracranial hemorrhage in children is a vascular anomaly, either aneurysmal or angiomatous. Hemorrhage from toxins, infectious diseases, blood dyscrasias, and tumors is rare.

It is the widespread opinion that aneurysms and other vascular anomalies of the brain are congenital in origin. Dandy1 supported this view, and, more specifically, he thought that aneurysms could develop at sites where embryonic vessels or vascular buds had developed

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