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Related Experiment Videos

Spastic hemiparesis and presumed prenatal embolisation.

A A Asindi1, J B Stephenson, D G Young

  • 1Royal Hospital for Sick Children, Glasgow.

Archives of Disease in Childhood
|January 1, 1988
PubMed
Summary

Prenatal right subclavian artery occlusion in an infant led to left hemiparesis and brain infarction. Limb ischemia at birth may signal concurrent cerebral infarction in newborns.

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Neonatal meningitis.

Neurosciences (Riyadh, Saudi Arabia)·2013

Area of Science:

  • Neurology
  • Pediatric Cardiology
  • Neonatology

Background:

  • Perinatal stroke is a significant cause of long-term neurological disability in children.
  • Risk factors for perinatal stroke include genetic, infectious, and environmental influences.
  • Subclavian artery anomalies are rare causes of neonatal complications.

Observation:

  • A neonate presented with clinical signs of right subclavian artery occlusion during the prenatal period.
  • The infant subsequently developed left hemiparesis, indicating neurological impairment.
  • Imaging revealed cystic infarction in the territory of the right middle cerebral artery.

Findings:

  • This case highlights a potential association between prenatal subclavian artery occlusion and perinatal stroke.
  • The presence of limb ischemia at birth, secondary to arterial occlusion, was observed.
  • Cerebral infarction occurred in the territory supplied by the ipsilateral middle cerebral artery.

Implications:

  • Limb ischemia at birth may serve as a crucial warning sign for simultaneous cerebral infarction in neonates.
  • Early recognition of these signs can prompt timely diagnostic workup and intervention.
  • Understanding this association may improve the diagnosis and management of perinatal stroke.

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