1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-1-29-a 10.15844/pedneurbriefs-1-4-10 Brain Tumors Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Subarachnoid Hemorrhage from Brain Tumors http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 09 1987 01 08 2016 1 4 29 29 Copyright: © 1987 The Author(s) 1987 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Subarachnoid hemorrhage from brain tumors in childhood

Six children with subarachnoid hemorrhage as the initial symptom of brain tumor are reported from the Depts of Neurosurgery, Univ.

 Initial Symptom Hypothalamus Cyanotic Spells

Six children with subarachnoid hemorrhage as the initial symptom of brain tumor are reported from the Depts of Neurosurgery, Univ. of Occupational and Environmental Health, Kitakyushu, and Kumamoto Univ Med Sch, Kumamoto. They represented a 3.6% of 167 new pediatric cases of brain tumor seen in 7-17 years at 2 centers in Japan. Two neonates presented with irritability, vomiting, cyanotic spells, and unilateral facial paresis. Four children, ages 4 to 15 years, developed sudden headache and vomiting with or without alteration of consciousness. The tumor locations were posterior fossa (2 medulloblastomas, one ependymoma, one hemangioma) and hypothalamus (one astrocytoma and one unverified). All were located close to the III or IV ventricles. The ultimate prognosis was poor. [1]

COMMENT: Medulloblastoma is more apt to bleed than other neuroectodermal tumors in pediatric patients. Compared to brain tumors in adults, those in children bleed more frequently and are more commonly located in the posterior fossa. Brain tumor should be considered as a possible etiology of subarachnoid hemorrhage in the neonate and child.

 Yokota A Kajiwara H Matsuoka S Kohchi M Matsukado Y Subarachnoid hemorrhage from brain tumors in childhood Childs Nerv Syst 1987 3 2 65 9 3040248 10.1007/BF00271124