Complete occlusion of the right middle cerebral artery associated with Mycoplasma pneumoniae pneumonia.
10.3345/kjp.2016.59.3.149
- Author:
Ben KANG
1
;
Dong Hyun KIM
;
Young Jin HONG
;
Byong Kwan SON
;
Myung Kwan LIM
;
Yon Ho CHOE
;
Young Se KWON
Author Information
1. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Middle cerebral artery infarction;
Mycoplasma pneumoniae
- MeSH:
Antibodies;
Brain;
Causality;
Cerebral Angiography;
Cerebral Infarction;
Child, Preschool;
Enzyme-Linked Immunosorbent Assay;
Facial Paralysis;
Female;
Fever;
Fibrinogen;
Humans;
Immunoglobulin G;
Infarction;
Infarction, Middle Cerebral Artery;
Lung;
Magnetic Resonance Angiography;
Magnetic Resonance Imaging;
Middle Cerebral Artery*;
Mycoplasma pneumoniae*;
Mycoplasma*;
Paresis;
Pleural Effusion;
Pneumonia*;
Pneumonia, Mycoplasma*;
Radiography;
Stroke;
Thorax
- From:Korean Journal of Pediatrics
2016;59(3):149-152
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a 5-year-old girl who developed left hemiparesis and left facial palsy, 6 days after the initiation of fever and respiratory symptoms due to pneumonia. Chest radiography, conducted upon admission, showed pneumonic infiltration and pleural effusion in the left lung field. Brain magnetic resonance imaging showed acute ischemic infarction in the right middle cerebral artery territory. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed complete occlusion of the right middle cerebral artery. Mycoplasma pneumoniae infection was identified by a 4-fold increase in IgG antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. Fibrinogen and D-dimer levels were elevated, while laboratory exams in order to identify other predisposing factors of pediatric stroke were all negative. This is the first reported pediatric case in English literature of a M. pneumoniae-associated cerebral infarction involving complete occlusion of the right middle cerebral artery.
