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Neurology (Expert Forum)
What Could Cause This
Answered by
Lama Chahine, MD - Neurology
Cleveland Clinic
Cleveland - OH
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
What Could Cause This
by lulu512, Oct 28, 2009 08:49AM
My sister is 17 years old and has a 5 month old daughter. Yesterday my parents took her to the hospital because she could not move. She had been sick with consistant vomiting the week before. they told her that she had blood in the back of her brain that was unexplained. so they took her to the metro childrens hospital egelston. they said that it was due to a cluster of blood vessels that had popped. how could this have happened
Doctor's Answer
by Lama Chahine, MD, Oct 30, 2009 08:00PM
, Oct 30, 2009 08:00PM
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine your sisters daughter and obtain a history and review her imaging, I can not tell you what the exact cause of her symptoms is. However I will try to provide you with some useful information.
In infants, and in people in general, bleeding in the brain can occur due to what is termed vascular malformations. There are several types of these, but to summarize, they are either malformed veins or malformed connections between arteries and veins in the brain. Another cause of bleeding in the brain is rupture of an aneurysm, which can occur in infants though this is rare. When a bleed occurs in the brain, they can lead to increased pressure around the brain, and this can lead to intractable vomiting. These vascular malformations occur during development, in most cases a specific cause is not identified, and a trigger for the bleeding also may not be identified. Treatment depends on the exact nature of the blood vessel abnormality, but the most appropriate care is often delivered in an intensive care unit. If a vascular malformation is present, surgical treatment or a procedure called embolization may be needed to prevent re-bleeding.
Discussion of your questions with the child's pediatric neurologist is important so you can understand what caused the bleed and what the treatment plan is.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Without the ability to examine your sisters daughter and obtain a history and review her imaging, I can not tell you what the exact cause of her symptoms is. However I will try to provide you with some useful information.
In infants, and in people in general, bleeding in the brain can occur due to what is termed vascular malformations. There are several types of these, but to summarize, they are either malformed veins or malformed connections between arteries and veins in the brain. Another cause of bleeding in the brain is rupture of an aneurysm, which can occur in infants though this is rare. When a bleed occurs in the brain, they can lead to increased pressure around the brain, and this can lead to intractable vomiting. These vascular malformations occur during development, in most cases a specific cause is not identified, and a trigger for the bleeding also may not be identified. Treatment depends on the exact nature of the blood vessel abnormality, but the most appropriate care is often delivered in an intensive care unit. If a vascular malformation is present, surgical treatment or a procedure called embolization may be needed to prevent re-bleeding.
Discussion of your questions with the child's pediatric neurologist is important so you can understand what caused the bleed and what the treatment plan is.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
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