Document Detail


Neuropathologic features, including pontine schwannosis, in a four-year survivor of probable Reye's syndrome with secondary Möbius syndrome.
MedLine Citation:
PMID:  6723427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Frequent seizures and loss of motor, language, and intellectual skills necessitated care in an institution for the physically and mentally handicapped for 4 years after diagnosis of presumed Reye's syndrome in a 10-month-old boy. M obius syndrome was diagnosed and bilateral tarsorrhaphy performed for exposure keratitis. Postmortem examination revealed multiple old boundary zone infarcts in the cerebral cortex, small cavitated infarcts in basal ganglia and thalami, diffuse neuronal loss and gliosis, and a focus of old necrosis in the pons; brain stem herniation during the acute phase of Reye's syndrome was responsible for the latter lesion. Irregular congeries of proliferated peripheral nerves, confirmed by ultrastructural study, were ramifying in the gliotic pontine tegmentum. The pathologic substrate for the neurovegetative state in a long-term survivor of probable Reye's syndrome appears to be multifocal cerebral infarction.
Authors:
H J Manz; W Cochran
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child's brain     Volume:  11     ISSN:  0302-2803     ISO Abbreviation:  Childs Brain     Publication Date:  1984  
Date Detail:
Created Date:  1984-07-19     Completed Date:  1984-07-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505428     Medline TA:  Childs Brain     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  126-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Atrophy
Axons / ultrastructure
Cerebral Cortex / pathology
Child, Preschool
Facial Paralysis / pathology*
Humans
Male
Microscopy, Electron
Nerve Fibers, Myelinated / ultrastructure
Nerve Regeneration*
Pons / pathology*
Reye Syndrome / pathology*
Schwann Cells / ultrastructure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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