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儿童皮层下缺血性梗塞少见,尽管零星个案报道,但尚无完整的分析研究.本文介绍5例儿童皮层下梗塞(subcortical infarction,SCI)。 例1,女,12岁。因头痛、咽痛及腹痛10天入院。入院当日出现右侧肢体轻偏瘫伴癫痫发作。胸片示心脏扩大。凝血检查、脑脊液和头部CT检查正常。一周后行心导管检查示心输出量降低伴充血性心衰,复查CT示左侧基底节和内囊后肢梗塞。入院两周,其右侧轻偏瘫消失,心肌病性心衰改善,行心脏移植术;病理学检查证实为特发扩张型心肌病;无血栓。术后半年其神经病学症状和癫痫发作消失。例2,男,26个月。因强直—阵挛性癫痫
Children with subcortical ischemic infarction are uncommon and, although sporadic cases are reported, there is no complete analysis of the study. In this paper, 5 children with subcortical infarction (SCI) were introduced. Example 1, female, 12 years old. Due to headache, sore throat and abdominal pain 10 days admitted. The right limb paralysis with epileptic seizures occurred on the day of admission. Chest radiograph shows enlarged heart. Coagulation, cerebrospinal fluid and head CT examination is normal. Cardiac catheterization after a week showed a decrease in cardiac output with congestive heart failure, review CT showed left basal ganglia and internal capsule hindlimb infarction. Admitted to hospital for two weeks, the right hemiplegia disappeared, cardiomyopathy heart failure, heart transplantation; pathological examination confirmed idiopathic dilated cardiomyopathy; no thrombosis. Six months after the neurological symptoms and seizures disappeared. Example 2, male, 26 months. Because of tonic - clonic epilepsy