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[Cerebral infarction in a boy with subdural abscess].
M Fukuda1, T Ichiyama, T Hayashi
1Department of Pediatrics, Yamaguchi University School of Medicine.
No to Hattatsu = Brain and Development
|May 1, 1991
Summary
A pediatric subdural abscess led to a left middle cerebral artery infarction. Angiography revealed internal carotid artery stenosis, suggesting the cause was angiitis.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroimaging
Background:
- Subdural abscesses are rare in children and can lead to serious neurological complications.
- Middle cerebral artery (MCA) infarction can result from various causes, including arterial occlusion.
Observation:
- A 13-year-old boy presented with a left anterior cranial fossa subdural abscess.
- Cranial computed tomography (CT) showed abscess progression and subsequent left MCA occlusion.
- Cerebral angiography identified stenosis at the left internal carotid artery (ICA) bifurcation near the abscess.
Findings:
- The imaging findings indicated an infarction in the territory of the left MCA.
- The ICA stenosis adjacent to the subdural abscess suggested a potential link.
Implications:
- This case highlights a rare presentation of pediatric subdural abscess complicated by cerebral infarction.
- Angiitis of the internal carotid artery is implicated as the likely cause of stenosis and subsequent infarction.
- Early diagnosis and management of such complex cases are crucial for favorable outcomes.