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Microangiopatía Mineralizante Presentada como Accidente Cerebrovascular Pediátrico: Un Informe de Caso
Gisle Berg Helland1,2, Gunnthorunn Gunnarsdottir1,3, Piotr Sowa4
1Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Case reports in neurology
|January 22, 2026
Resumen
La angiografía mineralizante, una causa rara de accidente cerebrovascular pediátrico, fue diagnosticada en un bebé nórdico mediante imágenes de TC. Esto resalta la posible falta de diagnóstico en países de altos ingresos y la importancia de la TC temprana para el diagnóstico.
Área de la Ciencia:
- Neurología; Pediatría; Radiología
Sus antecedentes:
- La angiografía mineralizante es una causa rara de accidente cerebrovascular pediátrico.; No se ha descrito previamente en países europeos nórdicos.; Esta afección puede ser subreconocida en casos de accidente cerebrovascular pediátrico.
Objetivo del estudio:
- Informar un caso de angiografía mineralizante en un niño de 11 meses en un país europeo nórdico.; Destacar el valor diagnóstico de las imágenes de TC en la angiografía mineralizante.; Discutir la posible falta de diagnóstico de esta afección en países de altos ingresos.
Principales métodos:
- Presentación de un caso de un niño de 11 meses con hemiparesia aguda.; La TC inicial reveló calcificaciones en los ganglios basales y arterias carótidas tortuosas.; La RM confirmó el infarto agudo; el diagnóstico se basó en neuroimagen, particularmente en vistas sagitales de TC de calcificaciones a lo largo de los vasos perforantes profundos.
Principales resultados:
- Un niño de 11 meses se presentó con hemiparesia aguda del lado izquierdo (puntuación pedNIHSS de nueve).; La TC mostró calcificaciones bilaterales en los ganglios basales y arterias carótidas internas tortuosas.; La RM confirmó infarto agudo del ganglio basal derecho; se estableció el diagnóstico de angiografía mineralizante.
Conclusiones:
- La angiografía mineralizante puede ser subdiagnosticada en el accidente cerebrovascular pediátrico, especialmente donde se prefiere la RM a la TC.; La TC temprana es crucial para diagnosticar la angiografía mineralizante.; El seguimiento longitudinal puede proporcionar información sobre la fisiopatología de la calcificación vascular.
Palabras clave:
Informes de casosAccidente cerebrovascular isquémicoMedicina de emergencia pediátricaMás Videos Relacionados
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