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-1-53-a 10.15844/pedneurbriefs-1-7-10 Developmental Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Arteriovenous Malformation 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 12 1987 01 08 2016 1 7 53 53 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. Ruptures of arteriovenous malformations in children associated with trivial head trauma

Three children, ages 5 to 9 years, with A-V malformations that ruptured after trivial head trauma, are reported from the Departments of Neurosurgery, University Medical School and Red Cross Hospital, Kumamoto City, Japan.

 Trivial Head Trauma Intracerebral Hematomas Cerebral Angiography

Three children, ages 5 to 9 years, with A-V malformations that ruptured after trivial head trauma, are reported from the Departments of Neurosurgery, University Medical School and Red Cross Hospital, Kumamoto City, Japan. They represented 12% of 25 consecutive patients with proven AVM’s and 30% of 10 patients under 15 years of age. Two received blows on the forehead and one on the occipital region. Intracerebral hematomas were located in the sub-cortical area of the parietal or temporal lobe. Cerebral angiography revealed AVM’s with feeding arteries from the anterior or middle cerebral arteries. At surgery there was no evidence of cortical contusion and excision of the AVM’s was successful. [1]

COMMENT. The authors found only 7 other case reports in the literature where hemorrhage from an AVM was associated with head trauma. All were in children. It is suggested that a larger shearing force can be produced in a child’s brain than in an adult’s, particularly during acceleration of the head in the AP or PA direction.

 Nishi T Matsukado Y Marubayashi T Masumitsu T Yamamoto H Ruptures of arteriovenous malformations in children associated with trivial head trauma Surg Neurol 1987 Dec 28 6 451 7 10.1016/0090-3019(87)90229-1 3686326