Valenzuela ZG, Velázquez QM, Herrera TM

Language: Spanish
References: 17
Page: 77-80
PDF size: 117.62 Kb.

ABSTRACT

Introduction: The study of a patient with ischemic brain arrest involves the possibility of pathology in the brain arteries, and when this is documented, it also involves radiological techniques assessment until it is resolved. Clinical case: We described a Mexican teenager who presented headache and hypoesthesia, caused by a secondary brain arrest to a transitional arteriopathy, which serves as an example to revise the current diagnosis protocol. Conclusions: In the secondary brain arrest to arteriopathy, it’s currently indicated to perform at least three angiogram studies: one at the starting of the symptoms, and two more with intervals of at least three months among every one of them. It raises our attention that the recent classification of brain arteriopathy, the transitional brain arteriopathy of childhood was classified among the non inflammatory vascular pathology, which suggests that specific classification should be modified according to the advancing in the knowledge regarding the physiosiopathology and related environmental and genetic factors.

REFERENCES

1. Fullerton HJ, Wu YW, Zhao S, Johnston SC. Risk of stroke in children: ethnic and gender disparities. Neurology 2003; 61: 189-94.

2. Lynch JK. Cerebrovascular disorders in children. Curr Neurol Neurosci Rep 2004; 4: 129-38.

3. Lynch JK, Hirtz DG, DeVeber G, Nelson KB. Report of the National Institute of Neurological disorders and Stroke Workshop on perinatal and childhood stroke. Pediatrics 2002; 109: 116-23.

4. Sofronas M, Ichord RN, Fullerton HJ, Lynch JK, Massicotte MP, Willan AR, et al. Pediatric stroke initiatives and preliminary studies: What is known and what is needed? Pediatr Neurol 2006; 34: 439-45.

5. Golomb MR, Garg BP, Saha C, Williams LS. Accuracy and yield of ICD-9 codes for identifying children with ischemic stroke. Neurology 2006; 67: 2053-5.

6. Sèbire G, Fullerton H, Riou E, deVeber G. Toward the definition of cerebral arteriopathies of childhood. Curr Opin Pediatr 2004; 16: 617-22.

7. Ganesan V, Prengler M, McShane MA, Wade AM, Kirkham FJ. Investigation of risk factors in children with arterial ischemic stroke. Ann Neurol 2003; 53: 167-73.

8. Matta AP, Galvao KR, Oliveira BS. Cerebrovascular disorders in childhood: etiology, clinical presentation, and neuroimaging findings in a case series study. Arq Neuropsiquiatr 2006; 64: 181-5.

9. Chabrier S, Rodesch G, Lasjaunias P, Tardieu M, Landrieu P, Sebire G. Transient cerebral arteriopathy: a disorder recognized by serial angiograms in children with strokes. J Child Neurol 1998; 13: 27-32.

10. Preusch MR, Grau AJ, Buggle F, Lichy C, Bartel J, Black C, et al. Association between cerebral ischemia and cytotoxin-associated Gene-A-Bearing strains of helicobacter pylori. Stroke 2004; 35: 1800-4.

11. Berger TM, Cadull JH, Gebber JO. Fatal varicella zoster virus antigen positive giant cell arteritis of the central nervous system. Pediatr Infect Dis J 2000; 19: 653-6.

12. Askalan R, Laughlin S, Mayank S, Chan A, MacGregor D, Andrew M, et al. Chickenpox and stroke in childhood: a study of frequency and causation. Stroke 2001; 32: 1257-62.

13. Singhal AB, Singhal BS, Ursekar MA, Koroshetz WJ. Serial MR angiography and contrast-enhanced MRI in chickenpox-associated stroke. Neurology 2001, 56: 815-7.

14. Craze JL, Salisbury AJ, Pike MJ. Prenatal stroke associated with maternal parvovirus infection. Dev Med Child Neurol 1996, 38: 84-5.

15. Mandrioli J, Portolani M, Cortelli P, Sola P. Middle cerebral artery thrombosis in course of parvovirus B19 infection in a young adult: a new risk factor for stroke. J Neurovirol 2004; 10: 71-4.

16. Guidi B, Bergonzini P, Crisi G, Frigieri G, Portolani M. Case of stroke in a 7-year-old male after parvovirus B19 infection. Pediatr Neurol 2003; 28: 69-71.

17. Ribai P, Liesnard C, Rodesch G, et al. Transient cerebral arteriopathy in infancy associated with enteroviral infection. Eur J Paediatr Neurol 2003; 7: 73-5.