| Traumatic posterior cerebral artery occlusion in a 14-month-old child. | |
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MedLine Citation:
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PMID: 12213619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Following a head injury, a 14-month-old male presented with neck stiffness and 24 hours later developed bilateral lateral rectus palsies. An unenhanced cerebral computed tomographic scan performed on admission revealed evidence of subarachnoid hemorrhage, cerebral edema, and mild-to-moderate compensated supratentorial hydrocephalus. A second scan performed 96 hours after the head injury revealed a mural thrombus at the tip of the basilar artery without any evidence of infarction. A third scan performed 12 days later revealed that the thrombus had resolved. However, a left posterior cerebral artery territory infarct was visualized. We postulate that the thrombus had embolized to the left posterior cerebral artery and caused occlusion of its cortical branch and subsequent infarction. A magnetic resonance angiography performed 20 days later excluded any vascular abnormality. The bilateral lateral rectus palsies persisted at the 6-month follow-up. To our knowledge, a head injury leading to a posterior cerebral artery territory infarct has not been reported earlier in a young child. |
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Authors:
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Ashish S Kelkar; Sunil Karande; Vikram Chaudhary; Madhuri V Kulkarni |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric neurology Volume: 27 ISSN: 0887-8994 ISO Abbreviation: Pediatr. Neurol. Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-09-05 Completed Date: 2002-11-12 Revised Date: 2006-05-23 |
Medline Journal Info:
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Nlm Unique ID: 8508183 Medline TA: Pediatr Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 147-9 Citation Subset: IM |
Affiliation:
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Division of Pediatric Neurology; Department of Pediatrics; LTM Medical College and LTMG Hospital; Sion; Bombay 400 022, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain
/
blood supply,
pathology,
radiography Brain Injuries / complications* Cerebral Infarction / etiology, pathology, radiography Cerebrovascular Disorders / etiology*, pathology, radiography Humans Infant Injury Severity Score Magnetic Resonance Imaging Male Psychomotor Disorders / etiology Subarachnoid Hemorrhage / etiology*, pathology, radiography Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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