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CASE REPORT article

Front. Surg.
Sec. Neurosurgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1487979

Subarachnoid Hemorrhage Triggered by Spinal Cord Vascular Malformation in a Pediatric Patient: Case Report and Review of Literature

Provisionally accepted
Ye Zhang Ye Zhang 1Liaoyuan Zheng Liaoyuan Zheng 1*Yong-Wei Huang Yong-Wei Huang 1Zongping Li Zongping Li 1*Jing Feng Jing Feng 2*
  • 1 Department of Neurosurgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, People's Republic of China., Mianyang, China
  • 2 Department of Breast Surgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, People's Republic of China, mianyang, China

The final, formatted version of the article will be published soon.

    Background: Spinal cord vascular malformations (SCVMs) in children are relatively rare and present unique challenges due to their distinct physiological characteristics. These malformations often manifest with nonspecific clinical symptoms, increasing the likelihood of misdiagnosis. The treatment of pediatric SCVMs requires a tailored approach, with the choice between microsurgical intervention and endovascular embolization depending on the specific type of malformation and individual patient factors.Case Report: We report a case of a 6-year-old male who presented with a sudden onset of headache. Initial cranial imaging did not reveal any significant intracranial vascular malformations. However, thoracic spine magnetic resonance imaging (MRI) identified an abnormal signal, and digital subtraction angiography (DSA) confirmed the diagnosis of SCVMs.The patient underwent microsurgical treatment and was discharged in good health. Follow-up DSA confirmed the complete resolution of the vascular malformations.This case, along with a review of the literature, underscores the importance of thorough spinal evaluations in pediatric patients with spontaneous intracranial hemorrhage, especially when intracranial vascular malformations are not identified. A high index of suspicion for SCVMs is crucial. Early and accurate diagnosis, followed by appropriate treatment through microsurgical resection or endovascular embolization, can significantly improve therapeutic outcomes in children with SCVMs.

    Keywords: Spinal cord vascular malformations, Subarachnoid Hemorrhage, Digital subtraction angiography, Microsurgical, Pediatrics, case report

    Received: 29 Aug 2024; Accepted: 12 Dec 2024.

    Copyright: © 2024 Zhang, Zheng, Huang, Li and Feng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Liaoyuan Zheng, Department of Neurosurgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, People's Republic of China., Mianyang, China
    Zongping Li, Department of Neurosurgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, People's Republic of China., Mianyang, China
    Jing Feng, Department of Breast Surgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, People's Republic of China, mianyang, China

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