Research progress on focal cerebral arteriopathy
10.3760/cma.j.cn101070-20240626-00399
- VernacularTitle:局灶性脑动脉病的研究进展
- Author:
Xiuwei ZHUO
1
;
Jiuwei LI
1
;
Zemou YU
1
Author Information
1. 国家儿童医学中心，首都医科大学附属北京儿童医院神经内科，北京 100045
- Publication Type:Journal Article
- Keywords:
Child;
Inflammation;
Magnetic resonance imaging;
Focal cerebral arteriopathy;
Arterial ischemic stroke
- From:
Chinese Journal of Applied Clinical Pediatrics
2025;40(5):397-400
- CountryChina
- Language:Chinese
-
Abstract:
Focal cerebral arteriopathy (FCA) is one of the most common causes of arterial ischemic stroke in children, usually leading to unifocal and unilateral stenosis/irregularity of the large intracranial arteries of the anterior circulation.The pathogenesis of FCA may be related to viral infection and infection-related inflammatory responses.FCA usually presents a self-limited course, but it can present progressive changes in the early stage of the disease.This disease is mainly diagnosed based on neuroimage characteristics and dynamic follow-up observation of clinical and image changes.Magnetic resonance vessel wall imaging is helpful for the diagnosis and further classification of this disease.The treatment of FCA is controversial, and the effectiveness of corticosteroids is still under study.In this article, the clinical and imaging characteristics, treatment and prognosis of FCA will be reviewed in order to improve the understanding of pediatric neurologists.
