Hemorrhagic Stroke in Children

What is a hemorrhagic stroke?

Hemorrhagic stroke is the result of bleeding in the brain. This bleeding is usually the result of blood vessel abnormalities or clotting disorders. Hemorrhagic stroke is also referred to as cerebral hemorrhage or intracranial hemorrhage. Occasionally, children with arterial ischemic stroke can develop hemorrhagic transformation of their initial stroke, meaning that bleeding can sometimes develop as a complication of the ischemic injury itself or the medicine used to treat it. About 45 percent of strokes in children are hemorrhagic in nature.

What are the symptoms of hemorrhagic stroke?

The symptoms of hemorrhagic stroke tend to occur suddenly and can include:

  • severe headaches
  • vomiting and nausea
  • irritability (in infants)
  • weakness or numbness of the face, arm, or leg, usually on one of side of the body
  • difficulty walking, seeing, speaking, or understanding
  • dizziness or loss of balance
  • seizures, sometimes followed by paralysis on one side of the body
  • loss of consciousness

If you suspect your child is having a stroke, don’t wait — go directly to an emergency room.

What causes a hemorrhagic stroke?

Hemorrhagic stroke is the result of bleeding in the brain, which can deprive that organ of the oxygen it needs. This is typically caused by blood vessel abnormalities such as cavernous malformations, arteriovenous malformations, venous angiomas, and aneurysms. An arterial dissection, a tear in the lining of an artery, can also lead to a hemorrhagic stroke. Clotting disorders such as hemophilia, sickle cell disease, brain tumors, and congenital heart disease can also cause bleeds that may lead to hemorrhagic stroke.

How we care for hemorrhagic stroke

The Boston Children’s Hospital Stroke and Cerebrovascular Center team provides fast, comprehensive evaluations to quickly identify if and why a stroke has occurred. To stop bleeding in the brain, we work with physicians in the Cerebrovascular Surgery and Interventions Center, who address the cause of the hemorrhage. For example, if the stroke was caused by a blood vessel abnormality, we may be able to use a surgical or neurointerventional procedure to correct the condition.

Our team also provides long-term care from a variety of specialists, so that your child has access to the combined expertise of child neurologists, pediatric neurosurgeons, hematologists, neurointerventional radiologists, pediatric neuroradiologists, emergency medicine physicians, child psychiatrists, physical and occupational therapists, and speech and language therapists.