Clinico-radiological approach to cerebral hemiatrophy
| Autor: | Hsiang Rong Clement Yong, Ai Peng Tan, Bingyuan Jeremy Lin, Kshitij Mankad, Yen Ling Jocelyn Wong |
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| Rok vydání: | 2018 |
| Předmět: |
Cerebral Cortex
Rasmussen's encephalitis Brain Diseases medicine.medical_specialty business.industry Sturge–Weber syndrome Parry–Romberg syndrome General Medicine medicine.disease 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Neuroimaging Intervention (counseling) Pediatrics Perinatology and Child Health medicine Etiology Humans Neurology (clinical) Neurosurgery Atrophy Intensive care medicine business Stroke 030217 neurology & neurosurgery |
| Zdroj: | Child's Nervous System. 34:2377-2390 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-018-3934-3 |
| Popis: | Cerebral hemiatrophy is an uncommon neuroimaging finding of diverse etiologies, conventionally classified into two broad categories: congenital and acquired. The authors propose an alternative pragmatic clinical approach to cerebral hemiatrophy, classifying its diverse etiologies into a single event insult such as an in utero stroke, or a progressive disorder from an inflammatory or neoplastic process, the latter of which needs urgent intervention and will be the focus of our review paper. Illustrative cases will also be presented to facilitate the understanding of the discussed disorders. A systematic approach, linking both clinical and neuroimaging features, is important to facilitate the diagnostic workup of cerebral hemiatrophy. This may potentially help avoid large-scale investigations. Determining the underlying aetiology of cerebral hemiatrophy may impact treatment and prognostication as some conditions such as Rasmussen encephalitis and Parry-Romberg syndrome may benefit from timely implementation of immunomodulatory therapy. |
| Databáze: | OpenAIRE |
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