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Subcortical infarction in children
F C Powell1, W C Hanigan, K W McCluney
1Department of Neurological Surgery, University of Illinois College of Medicine at Peoria.
Stroke
|January 1, 1994
Summary
Pediatric subcortical infarction, though uncommon, often presents as acute hemiparesis in children. Identified risk factors are common, and most children experience good neurological recovery.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroradiology
Background:
- Subcortical infarction is an uncommon neurological event in childhood.
- This study reviews clinical characteristics and outcomes of pediatric subcortical infarction.
- Literature review identifies risk factors and prognoses in affected children.
Observation:
- Five pediatric cases of subcortical infarction were analyzed, with a mean age of 4.8 years.
- Presentations included hemiparesis, dystonia, fever, and focal seizures.
- Identified risk factors included Protein C deficiency and cardiomyopathy.
Findings:
- Literature review of 79 patients revealed common risk factors like infection, trauma, and hematologic disorders.
- Hemiplegia was the most frequent presentation (46/51 patients).
- Approximately 80% of patients showed good or complete resolution of neurological deficits after follow-up.
Implications:
- Subcortical infarction in children typically presents with hemiparesis.
- Early identification of risk factors is crucial for management.
- Prognosis is generally favorable with appropriate care and follow-up.