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

Alcino Alves Barbosa Junior; Saada Resende de Souza Ellovitch; Rita de Cassia Maciel Pincerato

doi:10.1590/s1679-45082012000200021

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

Einstein (Sao Paulo). 2012 Apr-Jun;10(2):239-41. doi: 10.1590/s1679-45082012000200021.

[Article in English, Portuguese]

Authors

Alcino Alves Barbosa Junior¹, Saada Resende de Souza Ellovitch, Rita de Cassia Maciel Pincerato

Affiliation

¹ Department of Diagnostic Imaging, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

PMID: 23052463
DOI: 10.1590/s1679-45082012000200021

Abstract

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.

Publication types

Case Reports

MeSH terms

Carotid Artery, Internal*
Carotid Stenosis / complications*
Carotid Stenosis / diagnostic imaging
Carotid Stenosis / pathology
Cerebral Angiography
Child, Preschool
Female
Humans
Ischemic Attack, Transient / diagnostic imaging
Ischemic Attack, Transient / etiology*
Ischemic Attack, Transient / pathology
Magnetic Resonance Angiography
Tomography, X-Ray Computed