Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1721828
Case Report

Treatment of Increased Intracranial Pressure and Vasospasm after Subarachnoid Hemorrhage in a 9-Year-Old Child—A Case Report

1  Department of Anesthesiology and Critical Care, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
,
2  Department of Neuroradiology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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2  Department of Neuroradiology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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3  Department of Neurology and Neurophysiology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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4  Department of Neurosurgery, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
,
1  Department of Anesthesiology and Critical Care, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
› Author Affiliations
Funding None.

Abstract

We report a 9-year-old patient who suffered severe subarachnoid hemorrhage due to ruptured dissecting aneurysm of the left parieto-occipital artery. After endovascular occlusion of the aneurysm, increased intracranial pressure refractory to noninvasive therapy required secondary decompressive hemicraniectomy. Critical vasospasm and delayed neurological deterioration were treated by oral nimodipine and successful endovascular rescue therapy consisting of intra-arterial balloon dilatation.

Availability of Data and Material

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.


Authors' Contributions

S.-H.M. wrote the manuscript. C.T., S.M., E.M., R.R., and J.B. revised the manuscript. All authors contributed substantially to this work and all of them revised and agreed to the final version of the manuscript with full access to all data.


Consent for Publication

Written consent for publication of this report was obtained from the patient's parents.




Publication History

Received: 08 October 2020

Accepted: 20 November 2020

Publication Date:
04 February 2021 (online)

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