Basal ganglia and thalamic infarction in children. Cause and clinical features

Archives of Neurology
M C BrowerE S Roach

Abstract

We present the signs, symptoms, and radiographic features of 36 children with ischemic infarctions of the basal ganglia, internal capsule, or thalamus. The series includes 14 males and 22 females ranging in age from newborn to 13 years. Twenty-seven patients were evaluated with computed tomography, 34 with magnetic resonance imaging, 16 with magnetic resonance angiography, and 10 with conventional cerebral angiography. Thirty patients had unilateral lesions (16 left, 14 right) and 6 had bilateral infarctions. The most common presenting symptom was hemiplegia (30 of 36). Other children presented with aphasia (5 of 36), seizures (5 of 36), altered consciousness (5 of 36), and hemisensory changes (5 of 36). Four of 6 patients with bilateral lesions presented with altered mental status, but the location of a unilateral infarction within the thalamus or basal ganglia did not predict the clinical presentation. The risk factors for basal ganglia infarction in children are diverse, but systemic hypertension does not play a major role in children. The vascular occlusion often occurred in the large arteries, with secondary occlusion of the smaller penetrating arteries. Most children with a single unilateral infarction have a good prognosis.

Citations

Sep 2, 2008·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Priscilla SpringerJohan Schoeman
Jan 9, 2003·Clinics in Perinatology·Mark S ScherBarbara A Bangert
Jan 11, 2014·Developmental Neuropsychology·Alison GomesVicki Anderson
Aug 26, 2009·Acta Paediatrica·Sachin GuptaMing Lim
Sep 28, 2013·Journal of Child Neurology·Michael D ZwankBret C Haake
Jan 19, 2006·Journal of Child Neurology·Ariel GoutGuillaume Sébire
Jan 27, 2009·Journal of Child Neurology·Verena HaugIrina Mader
May 25, 2002·Journal of Child Neurology·Meredith R GolombGabrielle A deVeber
Jun 1, 2000·Journal of Child Neurology·F J KirkhamV Ganesan
May 20, 1999·Journal of Child Neurology·V Puri, G Riggs
Apr 11, 2000·Journal of Child Neurology·V BojinovaL Belopitova
Jul 20, 2004·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·C HärtelU Thyen
Jun 2, 2001·Stroke; a Journal of Cerebral Circulation·R AskalanG deVeber
Aug 23, 2003·Stroke; a Journal of Cerebral Circulation·Jeremy D Schmahmann
May 4, 2002·Stroke; a Journal of Cerebral Circulation·Béatrice HussonGuillaume Sébire
Jul 15, 2009·Acta Paediatrica·Abdelhady Taha EmamMalek Ahmed Babikr
Jan 18, 2012·European Journal of Clinical Investigation·Marisol Mirabelli-BadenierFabrizio Montecucco
Jul 28, 2015·Developmental Medicine and Child Neurology·Ginette M Ecury-GoossenJeroen Dudink
Nov 30, 2000·Current Treatment Options in Neurology·E S Roach
Mar 29, 2019·Recent Patents on Anti-infective Drug Discovery·Vishal Chavda, Snehal Patel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Basal Ganglia Cerebrovascular Disease

Basal ganglia cerebrovascular disease is a condition where the blood vessels in the basal ganglia are damaged or malfunction. Discover the latest research on basal ganglia cerebrovascular disease here.

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Related Papers

Journal of the American Academy of Child and Adolescent Psychiatry
Jeffrey E MaxStephan Arndt
European Journal of Pediatrics
Maja SteinlinGerhard Schroth
Topics in Stroke Rehabilitation
Edward HurvitzShane Tsai
Journal of the International Neuropsychological Society : JINS
Maureen DennisKeith Owen Yeates
European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
C HärtelU Thyen
© 2021 Meta ULC. All rights reserved