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A Clinical Study of Non-Accidental Intracranial Hemorrhage in Children

Journal of the Korean Pediatric Society 2003;46(11):1067-1072.
Published online November 15, 2003.
A Clinical Study of Non-Accidental Intracranial Hemorrhage in Children
Kwon Hoe Huh, Keum Ho Song, Ki Sik Min, Ki Yang Yoo
Department of Pediatrics, College of Medicine, Hallym University, Anyang, Korea
소아에서 사고에 의하지 않은 두개내 출혈의 임상적 고찰
허권희, 송금호, 민기식, 유기양
한림대학교 의과대학 소아과학교실
Correspondence: 
Ki Sik Min, Email: ksmin@hallym.or.kr
Abstract
Purpose
: Non-accidental intracranial hemorrhage in children is not low in incidence and results in high mortality and serious sequelae. So, the authors have researched the distribution of sex and age, causes, symptoms and signs, hemorrhagic types, mortality rate and sequelae of the patients hospitalized with non-accidental intracranial hemorrhage at Hallym University Sacred Heart Hospital.
Methods
: The medical records of twenty patients, aged 15 or younger, and excluding neonatal patients, were analyzed retrospectively. The patients in this study were admitted with non-accidental intracranial hemorrhage from January 1999 to June 2002.
Results
: Of the twenty cases, the ratio of male to female was 1 : 0.8. The patients aged one or less and between 11 and 15 were discovered to be the most frequent cases. Shaken baby syndrome and arteriovenous malformation were found to be the most frequent causes. Seizure was most frequently found to be a symptom and a sign. Hemorrhagic type was classified into subdural hemorrhage eight, intracerebral hemorrhage five. There were three mortal cases. Twelve surviving patients, excluding five not-followed ones, were reclassified into six cases of complete recovery and six of sequalae.
Conclusion
: Non-accidental intracranial hemorrhage in children is not low in incidence, with a high mortality rate and a high incidence of serious sequelae after survival. Consequently, early diagnosis and appropriate treatment are required. In addition, appropriate rehabilitation after treatment is needed because the high survival rate due to advanced medical treatment results in an increasing number of neurologic sequelae.
Key Words: Intracranial hemorrhage


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