{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:30:12Z","timestamp":1753893012063,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T00:00:00Z","timestamp":1644796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Radio"],"abstract":"<jats:p>Diffuse cerebral vasospasm after subarachnoid hemorrhage (SAH) is a complication resulting in an ischemic condition presenting with altered mentality and followed by motor or speech impairment. It is uncommon in pediatric population and requires differential diagnosis from Moyamoya disease, which is relatively common in Korea. We report a case of a 15-year-old girl who was presented with a seizure and subsequent headache, poor oral intake, and altered mentality, who was finally diagnosed with sporadic vasospasm followed by multiple aneurysm ruptures. The patient had recurrent seizures and persistent headache at the time of transfer. On the second day after transfer, she showed focal motor weakness and dysarthria, and her symptoms gradually progressed, showing paraplegia and aphasia on the third hospitalization day. Brain magnetic resonance imaging and magnetic resonance angiography demonstrated diffuse narrowing cerebral vasospasm of bilateral middle cerebral arteries, anterior cerebral arteries, and distal internal carotid arteries and three unruptured aneurysms. The patient was treated with intravenous hydration and nimodipine to expand the narrowed vessels. After confirming that the vessels were enlarged, we successfully executed the endovascular coil embolization. Her neurological deficits were improved through medical, interventional, and rehabilitation treatments and fully restored 11 months after discharge.<\/jats:p>","DOI":"10.3389\/fradi.2021.774739","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T05:28:42Z","timestamp":1644816522000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Diffuse Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage in a 15-Year-Old Girl: A Case Report"],"prefix":"10.3389","volume":"1","author":[{"given":"Dajeong","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeehun","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keon Ha","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Hye","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiwon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,2,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1007\/s12028-015-0177-y","article-title":"Hyperacute vasospasm after aneurysmal subarachnoid hemorrhage","volume":"24","author":"Bar","year":"2006","journal-title":"Neurocrit Care."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1731","DOI":"10.1007\/s00701-016-2865-6","article-title":"Subarachnoid haemorrhage secondary to traumatic intracranial aneurysm of the posterior cerebral circulation:case series and literature review","volume":"158","author":"Desouza","year":"2006","journal-title":"Acta Neurochir Wien."},{"key":"B3","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1055\/s-0033-1364216","article-title":"Management of arterial vasospasm following aneurysmal subarachnoid hemorrhage","volume":"33","author":"Dusick","year":"2013","journal-title":"Semin Neuro."},{"key":"B4","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1136\/neurintsurg-2011-010248","article-title":"Invasive interventional management of post-hemorrhagic cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage","volume":"4","author":"Abruzzo","year":"2012","journal-title":"J neurointervent Surg."},{"key":"B5","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1227\/01.NEU.0000156644.45384.92","article-title":"Prediction of cerebral vasospasm in patients presenting with aneurysmal subarachnoid hemorrhage:a review","volume":"56","author":"Harrod","year":"2005","journal-title":"Neurosurgery."},{"key":"B6","doi-asserted-by":"publisher","first-page":"266","DOI":"10.3171\/2009.4.PEDS09126","article-title":"Successful treatment of severe cerebral vasospasm following hemorrhage of an arteriovenous malformation:case report","volume":"4","author":"Pendharkar","year":"2009","journal-title":"J Neurosurg Pediatr."},{"key":"B7","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1016\/j.nic.2013.03.018","article-title":"Pediatric cerebral aneurysms","volume":"23","author":"Gemmete","year":"2013","journal-title":"Neuroimaging Clin N Am."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.3174\/ajnr.A1587","article-title":"Intracranial aneurysms in childhood:27-year single-institution experience","volume":"30","author":"Hetts","year":"2009","journal-title":"Am J Neuroradiol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1007\/s00381-004-1125-x","article-title":"Intracranial aneurysms in children aged under 15 years:review of 59 consecutive children with 75 aneurysms","volume":"21","author":"Lasjaunias","year":"2005","journal-title":"Childs Nerv Syst."},{"key":"B10","doi-asserted-by":"publisher","first-page":"2153","DOI":"10.1007\/s00381-017-3573-0","article-title":"Predicting symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage with an artificial neural network in a pediatric population","volume":"33","author":"Skoch","year":"2017","journal-title":"Childs Nerv Syst."},{"key":"B11","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1017\/cjn.2015.288","article-title":"Cerebral vasospasm:a review","volume":"43","author":"Findlay","year":"2006","journal-title":"Can J Neurol Sci."},{"key":"B12","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1161\/01.STR.16.4.562","article-title":"Cerebral vasospasm following aneurysmal subarachnoid hemorrhage","volume":"16","author":"Kassell","year":"1985","journal-title":"Stroke."},{"key":"B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2006.21.3.1","article-title":"Macdonald RL. 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