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Angiographic findings of ischemic stroke in children

R Shirane1, S Sato, T Yoshimoto

  • 1Division of Neurosurgery, School of Medicine Tohoku University, Sendai, Japan.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|December 1, 1992
PubMed

Insights

Pediatric cerebral infarction, a rare condition, was studied in Japan. Angiography revealed abnormalities in 83% of children with confirmed ischemic lesions, often affecting major cerebral arteries.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Neuroradiology

Background:

  • Cerebral infarction in children is a rare but significant neurological event.
  • Understanding the underlying vascular abnormalities is crucial for diagnosis and management.
  • Idiopathic cases represent a substantial proportion of pediatric stroke.

Purpose of the Study:

  • To describe the cerebral angiographic findings in children diagnosed with cerebral infarction.
  • To correlate imaging findings with lesion location and characteristics.
  • To investigate the potential for vascular recovery over time.

Main Methods:

  • Cooperative study in the Tohoku district of Japan.
  • Inclusion of 48 children with CT-confirmed ischemic cerebral lesions.
  • Cerebral angiography performed on pediatric patients.
  • Analysis of angiographic abnormalities, including location and pattern of lesions.

Main Results:

  • Cerebral infarction predominantly affected the middle cerebral artery territory, including the basal ganglia.
  • Angiographical abnormalities were detected in 83% of the studied children.
  • Commonly affected arterial segments included the internal carotid artery (supraclinoid portion) and the middle and anterior cerebral arteries (cisternal portions).
  • Multiple, contiguous lesions were observed in 22 cases; no bilateral intracranial lesions were noted.
  • Repeated angiography in 22 cases showed lesion recovery in 55%.

Conclusions:

  • Cerebral angiography is a valuable tool for identifying vascular abnormalities in pediatric cerebral infarction.
  • The findings suggest specific patterns of arterial involvement in childhood ischemic stroke.
  • The observed recovery in a subset of patients indicates potential for spontaneous vascular improvement.

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