Abstract：Objective: To investigate the clinical manifestation, etiology and treatment of spontaneous intracranial hemorrhage in children. Methods: The clinical data of 104 cases of spontaneous intracranial hemorrhage in children from Jan. 2010 to Dec. 2017 (≤14 years old) were analyzed retrospectively, especially the findings of cerebral angiography, and their characteristics were elucidated. Results: The incidence of spontaneous intracranial hemorrhage in childhood with headache is more common (81/104 77.9%), and headache is the main clinical manifestation (59/104 56.7%). Some of the children with headache are complicated with facial and limb paralysis (20/59 33.9%), combined nausea and vomiting (23/59 39.0%), but combined hemiinas and speech disorders are rare. Cerebrovascular disease is the main reason, and cerebral arteriovenous malformation (AVM) accounts for 70.2%. Conclusion: There are many causes of headache in children. Sudden, atypical and severe headache children are likely spontaneous intracranial hemorrhage, and need further examination. Through early and timely diagnosis and reasonable treatment, the cure rate of the disease can be significantly improved.
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2018, Vol. 24 
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