Acta paediatrica (Oslo, Norway : 1992) · 2009
Thalamic infarct presenting as apparent life-threatening event in infants.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Gupta Sachin, Fernandez Daphin, Siddiqui Ata, Lin Jean-Pierre, Garside Lydia, Lim Ming
Аннотация
UNLABELLED: Thalamic infarction with distinct manifestations is well-described in adults but less well-delineated in children. We report two infants who presented with an apparent life-threatening event (ALTE) with very early magnetic resonance imaging (MRI) demonstrating a unilateral thalamic infarction. Subsequent MRI demonstrated bilateral changes in the brain stem and basal ganglia, which were in keeping with profound hypoxic ischaemic injury. We propose the thalamic infarction to be the primary event precipitating a profound hypoxic ischaemic injury as an alternative explanation to the neuroimaging observation.
CONCLUSION: Thalamic infraction may have a causal role in ALTE. Early and appropriate neuroimaging is required to detect these changes.
CONCLUSION: Thalamic infraction may have a causal role in ALTE. Early and appropriate neuroimaging is required to detect these changes.