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Mean age of the patients in this series was 4.8 years(range,4 months to 12 years);3 children were female.Three patients presented with the sudden onset of hemiparesis,1 with dystonia,and 1 with fever and focal seizures. Protein C deficiencies were demonstrated in 2 children;a cardiomyopathy was seen in 1 patient.Mean follow-up was 1.5 years.Two patients were neurologically normal,mild residual symptoms persisted in 2,and 1 patient showed severe dystonia.The literature analysis indicated that specific risk factors were described in 79 patients;complete clinical analysis was available for 51 patients.In the latter group,the mean age was 5.7 years; 26 children were female.Forty-six presented with hemiplegia,4 with dystonia,and 1 with focal seizures.Follow-up greater than 5 months in 29 patients showed complete or good resolution of deficits in 23.Specific risk factors such as infection,trauma,hematologic disorders,or cardiac or vascular abnormalities were identified in 62 of 79 children.This analysis indicates that children with subcortical infarction usually presented with acute hemiparesis.Risk factors were identified in the majority of children and follow-up demonstrated good or complete resolution of neurologic deficits in 80%of the patients. |
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basal ganglia,infarction
caudate nucleus,infarction
cerebral infarction
cerebrovascular accident
cerebrovascular accident,etiology
cerebrovascular accident,infancy and childhood
cerebrovascular accident,prognosis in
children
infantile hemiplegia
internal capsule
meningitis,TB
MRI
MRI,abnormal
prognosis
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risk factors
trauma
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