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Summary

Key Learning Points

1. Best outcomes for stroke patients are achieved in well-organised stroke systems which involve pre-hospital care, emergency departments, a stroke service, diagnostic and interventional radiology, critical care, anaesthesia and neurosurgery.
2. Success of interventions aimed at reducing morbidity and mortality is time-dependent.
3. Patients may need close monitoring and prompt intervention, particularly for blood pressure control and for neurological deterioration.
4. Some patients need neurosurgical intervention and may need critical care post-operatively.
5. Uncertainty remains about patient and treatment selection for intervention, and this is an area of intensive ongoing research.

We report a case of subarachnoid haemorrhage resulting from a mycotic aortic aneurysm in a child with CHD. The patient previously underwent operations for CHD and had a subarachnoid haemorrhage of unknown cause before the scheduled re-operation. During the re-operation, a sealed rupture of an undiagnosed mycotic ascending aortic aneurysm was identified, and the causative organism was later identified as Streptococcus. A postoperative MRI indicated a partially thrombosed cerebral aneurysm. This case demonstrates that a mycotic aortic aneurysm can be a cause of intracranial haemorrhage in children.

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3.4.3 - Acute Cerebrovascular Accident and Its Complications

Summary

Subarachnoid haemorrhage from undiagnosed mycotic aortic aneurysm in a child

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3.4.3 - Acute Cerebrovascular Accident and Its Complications

Summary

Subarachnoid haemorrhage from undiagnosed mycotic aortic aneurysm in a child