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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2017; 78(01): e5-e8
DOI: 10.1055/s-0036-1597616
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Isolated Spontaneous Midbrain Hemorrhage in a 14-Year-Old Boy

Kim-Long R. Nguyen
1   Covenant Children's Hospital, Lubbock, Texas, United States
2   Texas Tech University Health Sciences Center, Lubbock, Texas, United States
,
Hyunyoung Kim
1   Covenant Children's Hospital, Lubbock, Texas, United States
2   Texas Tech University Health Sciences Center, Lubbock, Texas, United States
,
Laszlo Nagy
1   Covenant Children's Hospital, Lubbock, Texas, United States
2   Texas Tech University Health Sciences Center, Lubbock, Texas, United States
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Publikationsverlauf

12. Mai 2016

07. November 2016

Publikationsdatum:
30. Januar 2017 (online)

   Lizenzen und Reprints

Abstract

Isolated spontaneous midbrain hemorrhages are rare because they are usually secondary to hemorrhages from inferior structures such as the pons and cerebellum, or superior structures such as the thalamus and putamen. While the etiologies are largely unidentified, the most common ones are vascular malformations and bleeding diathesis with hypertension being relatively uncommon. We report midbrain hemorrhage in a 14-year-old boy with a long-standing history of frequent migraine headaches and attention deficit/hyperactivity disorder (ADHD). Neurologic examinations, noncontrast computed tomography (CT) scans, and magnetic resonance imaging (MRI) suggested that the lesion likely affected the dorsal part of the midbrain. The neurologic symptoms improved following endoscopic third ventriculostomy (ETV) with the placement of external ventricular drains (EVDs). In this report, anatomical correlations to the case are discussed and previous reports of midbrain hemorrhages are reviewed.

Keywords

isolated hemorrhage - midbrain hemorrhage - pediatric - spontaneous midbrain hemorrhage
 

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