Skip to main content
Log in

Capsular stroke in congenital complete heart block

  • Case Reports
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

A normally developed 6 year old boy with congenital complete heart block presented with right hemiparesis of one month duration. The ventricular pacemaker which was implanted at two months of age had not been functioning for four years and was not replaced because there was no history of syncope, dizziness, or decreasing exercise tolerance even though the ventricular rate was 54 beats per minute. Computerized tomography revealed an infarct in the left internal capsule. Stokes-Adams attacks have been reported as a complication in children with congenital heart block but cerebrovascular accidents as in this patient are unusual (1, 5, 6, 9).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Benrey J, Gillette PC, Masrallah AT, Hallman GL (1976) Permanent pacemaker implantation in infants, children, and adolescents. Circulation 53:245

    Google Scholar 

  2. Gold, AP, Challenor YB, Gilles FH, Hilal SK, Levinton A, Rollins EI, Solomon GE, Stein BM (1973) Strokes in children. Stroke 4:833 (Part I); 4: 1007 (Part II)

    Google Scholar 

  3. Harker LA, Slichter SJ, Scott CR, Ross R (1974) Homocystinemia. Vascular injury and arterial thrombosis. N Engl J Med 291:537

    Google Scholar 

  4. Michaelsson M, Engle MA (1972) Congenital complete heart block: An international study of the natural history. In: Brest AN (ed) F. A. Davis Company p 86

  5. Moltham ME, Miller RM, Hastreiter AR, Paul MH (1962) Congenital heart block with fatal Adams-Stokes attacks in childhood. Pediatrics 30:32

    Google Scholar 

  6. Nakamura FF, Nadas AS (1964) Complete heart block in infants and children. N Engl J Med 270:1261

    Google Scholar 

  7. Nichamin SJ (1948) Stokes-Adams Syndrome associated with complete congenital heart block in infancy and childhood. Pediatrics 1:327

    Google Scholar 

  8. Rosenber LE, Downing SJ, Durant JC, Segal S (1966) Cystinuria: biochemical evidence for three distinct diseases. J Clin Invest 45:365

    Google Scholar 

  9. Scarpelli EM, Rudolph AM (1964) The hemodynamics of congenital heart block. Progr Cardiovasc Dis 6:327

    Google Scholar 

  10. Solomon GE, Hilal SK, Gold AP, Carter S (1970) Natural history of acute hemiplegia of childhood. Brain 93:107

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Casta, A., Talabi, A., Coulter, D.L. et al. Capsular stroke in congenital complete heart block. Eur J Pediatr 139, 71–72 (1982). https://doi.org/10.1007/BF00442084

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00442084

Key words

Navigation