| Bilateral paramedian thalamic and mesencephalic infarcts in a newborn due to occlusion of the artery of Percheron. | |
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MedLine Citation:
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PMID: 19182161 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Bilateral paramedian thalamic and mesencephalic infarcts are infrequently reported in adults, and to our knowledge, has never been reported in a child. The presumed etiology is an occlusion of the artery of Percheron, an uncommon vascular variation, in which a single common trunk from one of the P1 segments of the posterior cerebral artery provides bilateral irrigation to the paramedian thalami and midbrain. Bilateral paramedian thalamic and mesencephalic infarcts in adults are associated with symptoms of decreased arousal, vertical gaze paresis, mood changes, and memory difficulties. Although some improvement of these symptoms does occur, complete recovery is rare. We present here a full-term male neonate, whose right-hand sided clonic seizures on day-of-life 2 prompted neuroimaging, which revealed bilateral paramedian thalamic and mesencephalic infarcts, suggestive of an occlusion of the artery of Percheron. |
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Authors:
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Sarah E Bain; David T Hsieh; L Gilbert Vezina; Taeun Chang |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of child neurology Volume: 24 ISSN: 1708-8283 ISO Abbreviation: J. Child Neurol. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-02 Completed Date: 2009-05-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8606714 Medline TA: J Child Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 219-23 Citation Subset: IM |
Affiliation:
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Department of Medicine, The George Washington University Medical Center, Washington, DC, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Arterial Diseases
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pathology,
physiopathology* Cerebral Infarction / pathology, physiopathology* Humans Infant, Newborn Magnetic Resonance Imaging Male Mesencephalon / blood supply*, pathology, physiopathology Seizures / etiology Thalamus / blood supply*, pathology, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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