Small infarction of the basal ganglia in childhood.

概要

論文の詳細を見る
Ten children (nine males and one female) from 11 months to 5 years of age were diagnosed as having basal ganglionic infarction by computed tomography (CT).<BR>In all patients presented hemiparesis progressed either rapidly or gradually. Other neurological findings included facial palsy, dysarthria, aphasia, tremor and mild consciousness disturbance. The lesions were classified by the findings of CT. The most frequent lesion was the putamino-capsulo-caudate type which involved the putamen, the head of the caudate nucleus, and the anterior limb of the internal capsule. Lesions involving the posterior limb were found in only one patient, who had a history of repeated transient ischemic attack.<BR>The severity of hemiparesis and prognosis were not correlated with the location and the size of the lesions, but the prognosis was correlated with the mode of the onset. Two patients who did not have good prognosis showed abnormal findings on cerebral angiography and had a gradual onset.<BR>Although seven of the 10 patients had clear-cut histories of mild head trauma prior to the episode of hemiparesis, the trauma occurred one month before the onset in two patients and previous fever suggesting a history of infection was found in four patients. There were two patients with narrowing of the middle cerebral artery and one with congenital heart disease. The etiology was unknown in the other cases.
一般社団法人日本小児神経学会の論文