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'Idiopathic' neonatal cerebral infarction.

J F Mantovani, G J Gerber

    American Journal of Diseases of Children (1960)
    |April 1, 1984
    PubMed
    Summary

    Neonatal cerebral infarction, rare in newborns, can occur without typical risk factors. This study highlights two cases of full-term infants experiencing seizures due to cerebral infarction within 24 hours of birth.

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    Area of Science:

    • Neurology
    • Neonatology
    • Pediatric Radiology

    Background:

    • Neonatal cerebral infarction is uncommon in live births.
    • Typically linked to perinatal issues like trauma or asphyxia.
    • Understanding its occurrence in otherwise healthy newborns is crucial.

    Observation:

    • Two cases of full-term infants presented with seizures.
    • These infants had no identifiable predisposing conditions.
    • Cerebral infarctions were diagnosed in the first 24 hours of life.

    Findings:

    • Unequivocal left cerebral infarctions were observed in both cases.
    • Radiological imaging suggested an embolic origin in one infant.
    • This indicates potential non-perinatal causes for neonatal stroke.

    Implications:

    • Challenges the assumption that neonatal stroke requires specific risk factors.
    • Highlights the importance of considering embolic events in unexplained neonatal seizures.
    • Suggests a need for broader diagnostic approaches in neonatal neurology.

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