Document Detail

Acute hemiplegia in one infant.
MedLine Citation:
PMID:  7779744     Owner:  NLM     Status:  MEDLINE    
A previously healthy 9-month-old girl, obese (12,500 gm) with sudden onset of hyperthermia (40 degrees C), generalized tonic-clonic seizures, followed by focal seizures, drowsiness, left facial nerve palsy, left lagophthalmos and mydriasis is presented. CT-scan and MRI suggested temporal-parietal infarction due to Sylvian artery occlusion in a 9-month-old infant with familial hypercholesterolemia (type 2 A dyslipidemia). The possibility of a cerebral abscess or herpetic encephalitis was considered. Negative clinic and serologic results excluded this diagnosis. The management of the symptomatology was made with parenteral antibiotics, anticonvulsive and antioedematous cerebral therapy. Favourable evolution with residual left hemiparesis after 30 days, when the child was discharged. CT-scan reevaluation (after 5 months of evolution) showed a hypodense temporal-parietal area abnormality due to a right ischemic infarction.
C Ciofu; I Gherghina; I Craiu; I Anca; O Aboussaad
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Romanian journal of neurology and psychiatry = Revue roumaine de neurologie et psychiatrie     Volume:  32     ISSN:  1017-5644     ISO Abbreviation:  Rom J Neurol Psychiatry     Publication Date:    1994 Oct-Dec
Date Detail:
Created Date:  1995-07-19     Completed Date:  1995-07-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9014562     Medline TA:  Rom J Neurol Psychiatry     Country:  ROMANIA    
Other Details:
Languages:  eng     Pagination:  253-8     Citation Subset:  IM    
Institute for Assistance of Mother and Children Care, Bucharest, Romania.
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MeSH Terms
Acute Disease
Brain / pathology,  radiography
Cerebral Infarction / complications,  diagnosis
Diagnosis, Differential
Hemiplegia / diagnosis*,  etiology
Hyperlipoproteinemia Type II / complications,  diagnosis
Magnetic Resonance Imaging
Tomography, X-Ray Computed

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