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- W2149322458 abstract "In April, 2010, a 2-year-old, previously healthy boy was referred to our hospital with acute left-sided hemiparesis. His parents reported no preceding illness, except chickenpox 10 months earlier. On neurological examination he had left upper motor neuron facial palsy and left-sided weakness of the arm and leg with hyper-reflexia and a positive Babinski sign. At admission, diffusion-weighted brain MRI images showed signs of recent cerebral ischaemia in the right middle cerebral artery territory (figure A). Our differential diagnosis included cerebral arteriopathy, trauma, infection, cardiac abnormalities, genetic, metabolic, and pro-thrombotic diseases. A week later, gadolinium-enhanced MR-arteriography showed a concentric stenosis of the right M1 and M2 segment compatible with an arteriopathy (figure B). Cerebrospinal fluid (CSF) analysis showed: leucocyte count 8×106/L (normal <5); total protein 0·11 g/L (normal 0·16–0·31); and glucose 31 mmol/L (normal 2·1–4·2). CSF PCR for varicella zoster virus was positive. A full paediatric stroke analysis including cardiological and thrombophilia screening was normal." @default.
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- W2149322458 date "2011-08-01" @default.
- W2149322458 modified "2023-10-16" @default.
- W2149322458 title "Lumbar puncture in paediatric stroke" @default.
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- W2149322458 doi "https://doi.org/10.1016/s0140-6736(11)60892-1" @default.
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