Abstract
Three cases of middle cerebral artery occlusion in children are reported. The origin of M1 was the site of occlusion in two cases, while occlusion 1 cm after the origin of M1 was found in the third. The possible etiological diagnosis was infectious arteritis in the first two cases, cranial trauma in the third. In no case were serious contralateral motor deficits detected in follow-up examinations. Follow-up digital subtraction angiography showed complete regression of arterial lesions in the second case. The authors conclude that middle cerebral artery occulusion may have a benign clinical course in children; surgical revascularization is indicated only in highly selected cases.
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Ausman JI, Diaz FG, Ma SH, Dujovny M, Sadasivan B (1988) Cerebrovascular occlusive disease in children. A survey. Acta Neurochir (Wien) 94:117–128
Egg-Oloffson O, Ringheim Y (1983) Stroke in children: clinical characteristics and prognosis. Acta Paediatr Scand 72:391–395
Ferris EJ, Levine HL (1973) Cerebral arteritis: classification. Radiology 109:327–341
Harvey FH, Pluord EG (1972) Juvenile cerebral arteriosclerosis and other cerebral arteriopathies of childhoodsix autopsied cases. Acta Neurol Scand 48:479–509
Harwood-Nash DC, McDonald P, Argent W (1971) Cerebral arterial disease in children. An angiographic study of 40 cases. AJR 111:672–686
Hilal SK, Solomon GE, Gold AP, Carter S (1971) Primary cerebral arterial occlusive disease in children. I. Acute acquired hemiplegia. Radiology 99:71–86
Matsushima Y, Inaba Y (1984) Moyamoya disease in children and its surgical treatment. Child's Brain 11:155–170
Olds MV, Griebel RW, Hoffman HJ, Craven M, Chuang S, Schutz H (1987) The surgical treatment of childhood moya-moya disease. J Neurosurg 66:675–680
Parrish CM, Byrne FP (1971) Surgical correction of carotid artery obstruction in children. Surgery 70:962–968
Raybaud CA, Livet MO, Jiddane M, Pinsard N (1985) Radiology of ischemic strokes in children. Neuroradiology 27:567–578
Sarkari NB, Holmes JM, Bickerstaff ER (1970) Neurologic manifestations associated with internal carotid loops and kinks in children. J Neurol Neurosurg Psychiatry 33:194–200
Schoenberg BS, Mellinger JF, Schoenberg DG (1978) Cerebrovascular disease in infants and children: a study of incidence, clinical features and survival. Neurology 28:763–768
Sheilds WD, Ziter FA, Osborn AG, Allen J (1977) Fibromuscular dysplasia as a cause of stroke in infancy and childhood. Pediatrics 59:899–901
Shillito J (1964) Carotid arteritis: a cause of hemiplegia in childhood. J Neurosurg 21:540–551
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Mancuso, P., Chiaramonte, I., Carpinteri, M. et al. Idiopathic middle cerebral artery occulusion in children: report on three cases. Child's Nerv Syst 10, 131–134 (1994). https://doi.org/10.1007/BF00302778
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DOI: https://doi.org/10.1007/BF00302778