Imaging findings and cerebral perfusion in arterial ischemic stroke due to transient cerebral arteriopathy in children

We report the case of a 4-year-old female child who developed an arterial ischemic stroke in the left middle cerebral artery territory, due to a proximal stenosis of the supraclinoid internal carotid artery, most probably related to transient cerebral arteriopathy of childhood. Computed tomography s...

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Bibliographic Details
Published in:	Einstein (São Paulo, Brazil) Vol. 10; no. 2; pp. 239 - 241
Main Authors:	Barbosa Junior, Alcino Alves, Ellovitch, Saada Resende de Souza, Pincerato, Rita de Cassia Maciel
Format:	Journal Article
Language:	English
Published:	Brazil Instituto Israelita de Ensino e Pesquisa Albert Einstein 01-06-2012
Subjects:	Brain ischemia Carotid Artery, Internal Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - pathology Case reports Cerebral Angiography Child Child, Preschool Diffusion magnetic resonance imaging Female Humans Ischemic Attack, Transient - diagnostic imaging Ischemic Attack, Transient - etiology Ischemic Attack, Transient - pathology Magnetic Resonance Angiography MEDICINE, GENERAL & INTERNAL Perfusion imaging Stroke Tomography, X-Ray Computed Stroke Imagem de difusão por ressonância magnética Diffusion magnetic resonance imaging Isquemia encefálica Case reports Imagem de perfusão Relatos de casos Perfusion imaging Angiografia por ressonância magnética Magnetic resonance angiography Brain ischemia Child Acidente vascular cerebral Criança
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Summary:	We report the case of a 4-year-old female child who developed an arterial ischemic stroke in the left middle cerebral artery territory, due to a proximal stenosis of the supraclinoid internal carotid artery, most probably related to transient cerebral arteriopathy of childhood. Computed tomography scan, magnetic resonance imaging, perfusion magnetic resonance and magnetic resonance angiography are presented, as well as follow-up by magnetic resonance and magnetic resonance angiography exams. Changes in cerebral perfusion and diffusion-perfusion mismatch call attention. As far as we know, this is the first report of magnetic resonance perfusion findings in transient cerebral arteriopathy.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1679-4508 2317-6385 2317-6385 1679-4508
DOI:	10.1590/S1679-45082012000200021