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Choroid plexus infarction in a child.

Korgun Koral1, Michael M Dowling, Nancy K Rollins

  • 1Department of Radiology, Children's Medical Center of Dallas, and University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235, USA. korgun.koral@childrens.com

Pediatric Neurology
|November 21, 2007
PubMed
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Choroid plexus infarction, a rare condition, was diagnosed in a 10-year-old girl using diffusion-weighted imaging. This case highlights a potential embolic or occlusive stroke affecting the medial posterior choroidal artery in pediatric patients.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Neuroimaging

Background:

  • Choroid plexus infarction is an uncommon cerebrovascular event.
  • Previous literature has not documented this condition in pediatric populations.
  • The choroid plexus is crucial for cerebrospinal fluid production and maintaining the blood-cerebrospinal fluid barrier.

Observation:

  • A 10-year-old girl presented with symptoms suggestive of a neurological event.
  • Diffusion-weighted imaging (DWI) revealed a focal area of restricted diffusion within the lateral ventricle's choroid plexus.
  • The imaging findings were consistent with acute infarction.

Findings:

  • This case represents the first reported instance of choroid plexus infarction in a child.
  • The diagnosis was confirmed through advanced neuroimaging techniques, specifically DWI.

Related Experiment Videos

  • The affected artery is likely the medial posterior choroidal artery, indicating a potential embolic or occlusive stroke.
  • Implications:

    • This finding expands the spectrum of pediatric stroke presentations.
    • It underscores the importance of considering choroid plexus infarction in the differential diagnosis of pediatric neurological events.
    • Further research is warranted to understand the etiology and long-term outcomes of pediatric choroid plexus infarction.