Analysis of etiology and CT with lacunar infarction in children
- VernacularTitle:小儿腔隙性脑梗死的病因与CT分析
- Author:
Xiangdong YUAN
- Publication Type:Journal Article
- Keywords:
Lacunar infarction;
Computerized tomography;
Basal ganglia calcification;
Children
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the etiology and manifestation of computerized tomography(CT) with lacunar infarction in children. Methods Forty-three cases with lacunar infarction were studied.Results The casuses included minor head injury(21 cases),upper respiratory infection(8 cases),varicella(2 cases),mitochondrial encephalomyopathy(1 case),moyamoya diseses(1 case),systemic lupus erythematosus(1 case) and unknown causes(9 cases).The clinical manifestations included hemiparalysis(41 cases),aphasia(5 cases),epilepsy(10 cases),sudden deafness(2 cases).A total of 51 focal ischemic lesions were found with CT in 43 patients.CT scan in 15 cases showed punctuate calcification focus with circular infarcts of low density beside them in single or bilateral basal ganglia.The clinical symptoms in 40 cases disappeared within 12 weeks after therapy.Conclusions The review indicates that children with lacunar infarction have a favorable prognosis,which is probably a result of the difference in lacunar infarction etiology between children and adults.Basal ganglia calcification is somewhat association with acute hemiplegia in infants minor head trauma sustained.