European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Intracranial bleeding is abnormal accumulation of blood inside the vault of
cranium it may occur inside the brain parenchyma as intracerebral bleeding or covering
the meningeal space Intra cranial hemorrhage is rare among children but often disabling
disease leading to high morbidity and mortality.
Aim: To study the etiology, clinical profile, laboratory and radiological findings of nontraumatic
intracranial bleed in children.
Material and methods: Prospective observational study ,The study was conducted in the
Department of Paediatrics, Niloufer hospital from November 2019 - November 2021.35
Children were included in this Study. Study was based on the child’s clinical presentation,
the cause of ICH as well as radiology criteria of hematoma.
Results: The outcome after the intracranial bleeding depends on many different factors
such as size and localization of hemorrhage as well as the clinical status at the time of
presentation. Intra cranial bleed due to bleeding diathesis has better outcome because of
appropriate diagnosis and treatment of the underlying disease, in addition to early surgical
intervention when indicated. Study showed a higher frequency of complex chronic illness
as risk factor for paediatric ICH. The mortality due to paediatric ICH remains high but
risk of death may reflect the underlying risk factors for intracranial hemorrhage and not
just the risk from the hemorrhage itself.
Conclusion: All cases of liver failure should be monitored with PT, APTT and INR, timely
vitamin K should be given to prevent ICH.