Acute Hemiparesis in a Child as a Presenting Symptom of Hemispheric Cerebral Proliferative Angiopathy
| Autor: | J. J. Gold, John R. Crawford |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pediatric intensive care unit
medicine.medical_specialty medicine.diagnostic_test business.industry Vascular malformation Arteriovenous fistula Case Report Arteriovenous malformation Magnetic resonance imaging medicine.disease lcsh:RC346-429 Surgery Angiopathy medicine Radiology Headaches medicine.symptom General Agricultural and Biological Sciences business lcsh:Neurology. Diseases of the nervous system Straight sinus |
| Zdroj: | Case Reports in Neurological Medicine, Vol 2013 (2013) Case Reports in Neurological Medicine |
| ISSN: | 2090-6676 2090-6668 |
| DOI: | 10.1155/2013/920859 |
| Popis: | A 9-year-old girl with a several-month history of unilateral intermittent headaches presented to the hospital with worsening headaches and unsteadiness. Neurologic exam was positive for a mild right hemiparesis and right homonymous hemianopsia. Noncontrast computed tomography revealed an engorged sagittal and straight sinus with prominent cortical veins concerning an arteriovenous malformation and the patient was admitted to the pediatric intensive care unit. Computed tomography angiogram demonstrated a left hemispheric vascular malformation, without evidence of dural arteriovenous fistula on conventional angiogram consistent with a diagnosis of cerebral proliferative angiopathy. There was no evidence of infarct on magnetic resonance imaging, and the patient’s symptoms were completely resolved within 24 hours. Cerebral proliferative angiopathy is a rare but important vascular malformation distinct from classic arteriovenous malformations that may present with stroke-like symptoms in childhood. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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