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儿童期皮层下区域的缺血性损害罕见,本文报告5例儿童期皮层下梗塞(SCI)。 例1,女,12岁。突发癫痫,右侧偏瘫入院。既往健康,近10天有头痛、咽痛、腹痛,流感样症状。X线胸片:心脏肥大。住院1周心导管检查示心排出量减少、充血性心力衰竭;CT:左侧基底节、内囊后肢梗塞。2周后偏瘫消失,因心肌病未改善,行心脏移植术,病理示特发性扩张性心肌病,未发现血栓源。随访6个月,患者无癫痫发作和神经缺失病症。例2,男,26个月,往健。因发热,强直-阵挛发作2min入院。神经系统检查未见异常。次日CT:右侧内囊前
Ischemic damage in subcortical regions of childhood is rare, and we report 5 cases of childhood subcortical infarction (SCI). Example 1, female, 12 years old. Epilepsy, right hemiplegia admitted to hospital. Past health, nearly 10 days have headache, sore throat, abdominal pain, flu-like symptoms. X-ray: cardiac hypertrophy. One week after admission, cardiac catheterization showed decreased cardiac output and congestive heart failure; CT: left basal ganglia and posterior hindlimb infarction. Two weeks after the disappearance of hemiplegia, due to myocardial disease did not improve, underwent heart transplantation, pathology showed idiopathic dilated cardiomyopathy, no source of blood clots. Patients were followed up for 6 months without seizures and neurological deficits. Example 2, male, 26 months, to health. Due to fever, tonic - clonic seizures 2min admission. Nervous system examination showed no abnormalities. The next day CT: the right internal capsule before