罕见的儿科后部中风病例报告,讨论脑干病变
Lauren A Gould1, Matthew Carman1, Gian Rossi2
1Emergency Medicine, Lakeland Regional Hospital, 1324 Lakeland Hills Blvd, Lakeland, FL 33805, USA.
Neurology international
|November 26, 2025
概括
儿科后部循环中风很罕见,但正在增加. 这个案例突出了一个14岁的脑干中风,一个专利的圆孔 (PFO),并讨论诊断工具,如脑干规则四.
科学领域:
- 神经学 神经学
- 儿科中风 儿童中风
- 神经成像是一种神经成像.
背景情况:
- 儿科缺血性中风的发生率显著增加.
- 儿童后部循环中风特别罕见.
- 越来越多的意识需要优化儿科中风的机构指导方针.
研究的目的:
- 报告一个罕见的急性缺血后部循环中风的案例在青少年.
- 讨论诊断方法和脑干病变的局部化.
- 突出专利卵巢孔 (PFO) 在密码性中风中的潜在作用.
主要方法:
- 一个14岁的男性患有急性缺血后部循环中风的病例报告.
- 诊断工作包括脑部的MRI和心声回声图.
- 讨论本地化脑干病变的症状.
主要成果:
- 这位患者出现了右侧面部垂垂,肌痛性关节障碍和半.
- 磁力共振成像证实脑干发生急性心脏病发作.
- 心声图显示了一种专利的卵巢孔 (PFO).
结论:
- 对所有中风患者来说,评估中风病因和风险因素至关重要.
- 卵孔 (PFO) 在密码性中风中很常见;闭塞在成年人中显示出希望,但儿科数据有限.
- 脑干四项规则可以帮助定位后部循环,特别是脑干病变.
相关概念视频
Stroke: Introduction and Types
55
A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
55
Ischemic Stroke l: Introduction
44
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
44
Ischemic Stroke ll: Pathophysiology
54
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
54
Hemorrhagic Stroke l: Introduction
20
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
20
Hemorrhagic Stroke ll: Pathophysiology
30
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
30
Brain Abscess l: Introduction
21
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
21


