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NEUROLOGY 2005;65:1663-1665
© 2005 American Academy of Neurology
Brief Communications

Early posttraumatic subarachnoid hemorrhage due to dissecting aneurysms in three children

M.C.J. Kneyber, MD, PhD, G. J.E. Rinkel, MD, PhD, L. M.P. Ramos, MD, C. A.F. Tulleken, MD, PhD and K. P.J. Braun, MD, PhD

From the Departments of Pediatrics (Dr. Kneyber) and Pediatric Neurology (Dr. Braun), Wilhelmina Children’s Hospital, University Medical Center Utrecht, and Departments of Neurology (Dr. Rinkel), Radiology (Dr. Ramos), and Neurosurgery (Dr. Tulleken), University Medical Center Utrecht; and Department of Pediatric Intensive Care, (Dr. Kneyber), VU University Medical Center Amsterdam, The Netherlands.

Address correspondence and reprint requests to Dr. Kees P.J. Braun, Department of Pediatric Neurology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands; e-mail: k.braun{at}wkz.azu.nl

Subarachnoid hemorrhage (SAH) due to a ruptured saccular aneurysm is uncommon in children. Pediatric traumatic aneurysms have been reported relatively frequently, tending to bleed after an interval of weeks after head injury. The authors describe three children with acute SAH after head injury caused by intracranial dissecting aneurysms. When head trauma in children is complicated by SAH in basal cisterns, dissecting aneurysms should be considered and treated, because rebleeding may occur.

Disclosure: The authors report no conflicts of interest.

Received April 20, 2005. Accepted in final form August 16, 2005.






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