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Cerebral infarcts in full term neonates.
Ipek Akman1, Eren Ozek, Yüksel Yilmaz
1Division of Neonatology, Department of Pediatrics, Marmara University Faculty of Medicine, Istanbul, Turkey.
The Turkish Journal of Pediatrics
|August 19, 2003
Summary
Cerebral infarcts can cause neonatal convulsions. Cranial imaging is crucial for diagnosing these infarcts, which may present with seizures as the first symptom.
Area of Science:
- Neurology
- Neonatal Medicine
- Pediatric Neurology
Background:
- Neonatal convulsions are a significant clinical concern.
- Cerebral infarcts are a known, yet sometimes challenging, cause of neonatal seizures.
Observation:
- Four full-term neonates presented with neonatal convulsions and confirmed cerebral infarct.
- Identified risk factors included perinatal asphyxia, sepsis, dehydration, and catheterization.
- Convulsions were the primary presenting sign in all cases.
Findings:
- Cranial imaging (CT/MRI) definitively diagnosed cerebral infarct.
- Extensive genetic and coagulation testing for hereditary causes yielded normal results.
- This suggests non-hereditary factors are significant in these cases.
Implications:
- Neonatal convulsions warrant thorough investigation for cerebral infarct.
- Early cranial imaging is recommended for unexplained neonatal seizures.
- This approach aids in timely diagnosis and management of neonatal cerebral infarct.