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31.
32.
Rafay MF Armstrong D Deveber G Domi T Chan A MacGregor DL 《Journal of child neurology》2006,21(1):8-16
Craniocervical arterial dissection is a recognized cause of arterial ischemic stroke in children. Whether children with craniocervical arterial dissection have dissection characteristics different from those of adults is unclear. A retrospective review of children, 1 month to 18 years of age, with dissection from two Canadian pediatric ischemic stroke registry centers was conducted. From 213 patients with arterial ischemic stroke, 16 (7.5%) were identified with dissection, 37.5% had warning symptoms, and 50% had a history of head or neck trauma. The clinical presentation included headache (44%), altered consciousness (25%), seizures (12.5%), and focal deficits (87.5%). Dissection involved extracranial vessels in 75% and anterior circulation in 56%. Follow-up included complete recovery in 43%, mild to moderate deficits in 44%, and severe deficits in 13%. Fourteen (87.5%) children received antithrombotic treatment. Follow-up angiography showed resolution of abnormalities in 60% of vessels. Total occlusion had the worst outcome for recanalization. In conclusion, the etiology of arterial dissection in the majority of children appears to be either trauma or idiopathic. Long-term angiography shows variable outcomes, depending on the initial findings. The relationship of angiographic outcomes with recurrent strokes requires further study in pediatric dissection. (J Child Neurol 2006;21:8-16). 相似文献
33.
Moyamoya disease is a cerebrovascular disease characterized by stenosis and occlusion of the arteries of the circle of Willis, with abnormal telangiectatic collateral circulation at the base of the brain. An association between moyamoya disease and neurofibromatosis 1, a neurocutanoeus disorder, is well established in the literature. However, its association with other neurocutaneous syndromes is infrequently reported. Hypomelanosis of Ito, another neurocutaneous syndrome, is characterized by macular hypopigmented skin whorls and variable neurologic involvement. Only one case study of an association between hypomelanosis of Ito and moyamoya disease has been reported in the English literature. We report a 17-year-old girl with both hypomelanosis of Ito and angiographic moyamoya disease. She presented with intractable seizures, progressive left hemiparesis, and skin manifestations of hypomelanosis of Ito. Although one might consider a coincidental association, this second case points to an association between the two disorders. Detailed neuroimaging, in particular angiography, should be considered in children with hypomelanosis of Ito and abnormal neurologic findings. 相似文献
34.
Intra-arterial tissue plasminogen activator for thrombosis complicating cerebral angiography in a 17-year-old girl 总被引:2,自引:0,他引:2
Golomb MR Rafay M Armstrong D Massicotte P Curtis R Hune S deVeber GA 《Journal of child neurology》2003,18(6):420-423
Few reports describe the use of intraarterial recombinant tissue plasminogen activator to treat intracranial thrombosis in children. A 17-year-old girl with a history of prior venous thrombosis developed a left middle cerebral artery thrombus during diagnostic cerebral angiogram. Therapy with intra-arterial tissue plasminogen activator was initiated. An immediate follow-up angiogram demonstrated recanalization, and diffusion-weighted magnetic resonance imaging 9 hours later showed no evidence of infarction. Following the angiogram, femoral artery thrombosis developed. Treatment with supratherapeutic levels of heparin, localized delivery of intra-arterial tissue plasminogen activator, embolectomy, danaparoid, and dipyridamole failed to re-establish perfusion to the lower leg, and below the knee amputation was required. Neurologic examination remained normal 1 year later. Cerebral damage was avoided with the use of emergency intra-arterial tissue plasminogen activator for cerebral artery thrombosis in this child. 相似文献
35.
Mubeen K Vijayalakshmi KR Abhishek PR 《Journal of investigative and clinical dentistry》2012,3(2):148-151
Osteoma is an uncommon benign neoplasm composed of mature bone. Growth is slow and continuous and located principally in the cranio‐maxillo‐facial region, and can be central (endosteal) or peripheral (periosteal). Osteomas can be solitary or multiple masses, and they are generally asymptomatic. We discuss a case of ivory osteoma of the mandible in a 35‐year‐old female, which was present at the left body of the mandible since she was 10 years old, and was gradually increasing in size. The osteoma was removed surgically through an intraoral approach, and no recurrence was observed. 相似文献
36.
Mubeen Khan Stphanie S. Cornelis Muhammad Imran Khan Duaa Elmelik Eline Manders Sem Bakker Ronny Derks Kornelia Neveling Maartje van de Vorst Christian Gilissen Isabelle Meunier Sabine Defoort Bernard Puech Aurore Devos Heidi L. Schulz Heidi Sthr Felix Grassmann Bernhard H. F. Weber Claire‐Marie Dhaenens Frans P. M. Cremers 《Human mutation》2019,40(10):1749-1759
37.
WD Lo RN Ichord MM Dowling M Rafay J Templeton A Halperin SE Smith DJ Licht M Moharir R Askalan G Deveber;For the International Pediatric Stroke Study 《Neurology》2012,79(9):864-870
OBJECTIVE: We developed the Recurrence and Recovery Questionnaire (RRQ) by converting the Pediatric Stroke Outcome Measure (PSOM) to a questionnaire for telephone interview and sought to validate the RRQ in a large cohort. METHOD: We analyzed parents' RRQ responses and same-day PSOM assessments for 232 children who had arterial ischemic stroke, cerebral sinovenous thrombosis, or presumed perinatal ischemic stroke. We assessed the agreement and consistency of the PSOM and RRQ, and we identified conditions that contributed to differences between the 2 measures. We tested selected factors as predictors of differences between the total PSOM and total RRQ (tPSOM and tRRQ) scores. RESULTS: Median PSOM score was 1.5 and median RRQ score was 1.5. There was good agreement between tPSOM and tRRQ, and RRQ was a reliable estimator of PSOM at the total and component level. Preexisting neurologic deficits or chronic illnesses increased the difference between the tPSOM and tRRQ; the chronic illness effect was confirmed with univariate analysis. CONCLUSIONS: The RRQ can characterize poststroke function when a child cannot return for examination. While the RRQ is not identical to the PSOM, the 2 measures likely assess closely related aspects of recovery. The RRQ is particularly useful when assessing outcomes of large cohorts, and will be useful in performing long-term follow-up studies of pediatric stroke. 相似文献
38.
A pediatric institutional acute stroke protocol improves timely access to stroke treatment 下载免费PDF全文
39.
Eric?H.?RosenfeldEmail author Adam?Vogel Robert?T.?Russell Ilan?Maizlin Denise?B.?Klinkner Stephanie?Polites Barbara?Gaines Christine?Leeper Stallion?Anthony Megan?Waddell Shawn?St. Peter David?Juang Rajan?Thakkar Joseph?Drews Brandon?Behrens Mubeen?Jafri Randall?S.?Burd Marianne?Beaudin Laurence?Carmant Richard?A.?FalconeJr. Suzanne?Moody Bindi?J.?Naik-Mathuria 《Pediatric surgery international》2018,34(9):961-966
40.
Contrast induced‐acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta‐analysis and systematic review of current literature 下载免费PDF全文