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    Go to the top of the page   ID: 20090426082652 Original case in german  More links about this topic on Pubmed (PubMed Reader)
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    Cerebellar Infarcts In A Child
    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Sanjeeb Kumar Sarma (Down Town Hospital/Guwahati/India)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Head-Brain and brain nerves  

     
     Pediatric Radiology CasesMost likely etiology:

    circulatory  

     
     Pediatric Radiology CasesHistory: *

    A 6-year old girl with poor physical built presented with gait abnormality, vomiting and recurrent headache since last 15 days. The patient was slightly irritated at the time of presentation. However, there was no history of convulsion or altered sensorium.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease : *

    The most common site of infarction is the basal ganglia followed by thalamus. Cerebellar infarction is thought to be rare in children. It has been found that infarcts are most common in the posterior inferior cerebellar artery distribution, followed by the superior cerebellar artery and anterior inferior cerebellar artery distribution. Abnormal gait, vertigo, headache, nausea, and vomiting are the presenting symptoms. Causes of stroke in children are many, ranging from intra-cerebral vascular processes like moyamoya, hemoglobinopathies, coagulation disorders e.g. protein C and S deficiencies, leukemia, meningitis, septicaemia, metabolic diseases, iron deficiency anemia, drugs to autoimmune conditions. Trauma in the form of head / cervical injuries or child abuse is also a known cause.  

     
     Pediatric Radiology CasesRadiological findings: *


    MRI 1 <- view MRI 1

    MRI 1: Axial T2W Image showing a hyperintense geographic area in cerebellum in relation to left posterior inferior artery territory.





    MRI 2 <- view MRI 2

    MRI 2: Axial T2W Image showing another hyperintense geographic area similar to Fig1 in cerebellum in relation to right superior cerebellar artery territory.





    MRI 3 <- view MRI 3

    MRI 3: Axial T2W Image at a higher level showing similar findings as Fig2.





    MRI 4 <- view MRI 4

    MRI 4: Axial T1W Image at the same level as Fig1 showing hypointense geographic area in relation to left posterior inferior artery territory.





    MRI 5 <- view MRI 5

    MRI 5: Axial T1W Image showing hypointense area in relation to right superior cerebellar artery territory.





    MRI 6 <- view MRI 6

    MRI 6: Coronal T2W Image showing hyperintense area in cerebellum in relation to different arterial territory.





    MRI 7 <- view MRI 7

    MRI 7: Sagittal T1W Image showing wedge shaped hypointense area in relation to right superior cerebellar artery territory.





    MRI 8 <- view MRI 8

    MRI 8: Sagittal T1W Image showing hypointense area in relation to left posterior inferior artery territory.




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Expert's opinion  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings: *

    Posterior fossa mass  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other : *

    Prognosis of cerebellar infarct is good. Full recovery is seen in 53% of patients with posterior inferior cerebellar artery infarcts, and 71% of patients with superior cerebellar artery infarcts  

     
     Pediatric Radiology CasesComments of the author about the case: *

    The child shows dramatic clinical improvement following regular aspirin and oral iron supplement as she was anemic. Probably anemia was the underlying cause.  

     
     Pediatric Radiology CasesFirst description / History: *

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Caplan LR. Stroke: A Clinical Approach. 2nd ed. Massachusetts: Butterworth-Heinemann; 1993.

    2. Medline: Medline
    Hartfield DS, Lwry NJ, Keene DL et al.
    Iron deficiency: a cause of stroke in infants and children.
    Pediatr Neurol. 1997 Jan; 16(1): 50-3.

    Anne G. Osborn. Diagnostic Neuroradiology by (Mosby)- chapter 11. Stroke.P 330-398.

    4. Medline: Medline
    Chatkupt S, Epstein LG, Rappaport R et al.
    Cerebellar infarction in children.
    Pediatr Neurol. 1987 Nov-Dec;3(6):363-6.  

     
     Pediatric Radiology CasesKeywords: *

    Cerebellar, Infarct, child, ischemic , child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Head-Brain and brain nerves
    or in the region: Head
    or in the tissue/organ: Brain and brain nerves
    or with the etiology: circulatory
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   

    Thanks to Martina Paetzel, M.D. for translating this case!

     
    Cerebellar Infarcts In A Child
    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652


     

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    Cerebellar Infarcts In A Child
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    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   

    Cerebellar Infarcts In A Child  
     
    Cerebellar Infarcts In A Child
    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652


     
     
    Cerebellar Infarcts In A Child
    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652


     

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    Cerebellar Infarcts In A Child
    Sanjeeb Kumar. Cerebellar Infarcts In A Child. PedRad [serial online] vol 9, no. 4.
    URL: www.PedRad.info/?search=20090426082652


     




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