关键词: 蛛网膜下腔出血; 儿童; 病因

Abstract: Objective To analyze the etiology,clinical features, imaging features and treatment of subarachnoid hemorrhage in children.Methods The clinical data of 18 children with subarachnoid hemorrhage who were hospitalized in Beijing Tiantan Hospital Affiliated to the Capital Medical University from Jan. 2003 to Jun. 2011 were analyzed retrospectively. Eighteen children were enrolled.Results There were 10 boys and 8 girls, median onset age was 11.33 years(ranged from 1 year to 18 years old). Etiology included mild trauma(22.2%), arteriovenous malformation of brain(16.7%), aneurysma(11.1%), hypertension(5.6%) and lower fibrinogen hematic disease(5.6%). 38.9 percent(n=7) had no identifiable cause. The most frequent clinical manifestation was headache(seen in 88.9% patients). Disturbance of consciousness was found in 5 cases. Other neurological manifestation included convulsion, dysarthria and muscle strength down. All cases were confirmed by imaging examination.Conclusion Subarachnoid hemorrhage can happen in any age. Headache and disturbance of consciousness are the most common neurological manifestations.

Key words: Subarachnoid hemorrhage; Children; Etiology