Acta Pzdiatr Scand 65: 119-124, 1976

CASE REPORT SPONTANEOUS CEREBRAL THROMBOSIS IN CHILDREN Report of Two Cases K. B. LILLQUIST and H. M. INGSTRUP From the Department of Paediatrics, Aulborg Hospital, Section North und the Department of Diagnostic Radiology, Aalhorg Hospital, Section South, Denmark I

ABSTRACT. Lillquist, K. B. and Ingstrup, H. M. (Department of Paediatrics, Aalborg Hospital, Section North, and Department of Diagnostic Radiology, Aalborg Hospital, Section South, Denmark). Spontaneouscerebral thrombosis in children. Acta Paediatr &and, 65: 119, 1 9 6 . 4 e r e b r a l arterial occlusions are rare in children, but they are demonstrated with increasing frequency as angiographic examination of children with acute hemiplegia becomes a routine procedure. Two cases of idiopathic cerebral thrombosis in boys, aged 6 1and 5 years, involving the basilar artery and the middle cerebral artery, respectively, are presented. The clinical flndings supplemented by angiography confirmed the diagnosis. KEY WORDS: Cerebral thrombosis, acute hemiplegia, children

Since the introduction of cerebral angiography in paediatric hospitals, arterial occlusions have been found increasingly often to be a cause of acute hemiplegia in children. In a large number of cases of acute cerebral occlusions in childhood the pathogenesis still remains unknown. Fortunately, the condition is only rarely fatal.

CASE HISTORIES Case 1 A 64-year-old boy was admitted to hospital in December, 1973, with a tentative diagnosis of acute encephalitis. The maternal grandfather had senile diabetes, and died of coronary thrombosis. The mother had hypertension during pregnancy, was delivered at term by Caesarian section owing to contracted pelvis. Premorbid development of the patient normal. No head injuries. From late October to early November the patient had bilateral sinusitis. On December 3, 1973, the patient awoke with paraesthesia in one foot, and a few hours later he became increasingly dizzy. Vomiting, restlessness and unsteady gait. On admission, ataxia, speech disturbances and spastic increase in the tonus of the left arm were found. N o

definite change in tonus in the legs. The deep reflexes were brisk, almost equal bilaterally. Bilateral, atypical Babinski’s sign. There was no fever. Blood pressure 115lSO mmHg. Ophthalmoscopy normal. The auscultation of the heart revealed a slight protosystolic murmur, grade 2 in the intercostal space 111-IV at the left sternal margin spreading to the pulmonary ostium. Coagulation status: Coagulation time: 8 min (5-1 1 min), recalcification time: 207 sec (

Spontaneous cerebral thrombosis in children. Report of two cases.

Acta Pzdiatr Scand 65: 119-124, 1976 CASE REPORT SPONTANEOUS CEREBRAL THROMBOSIS IN CHILDREN Report of Two Cases K. B. LILLQUIST and H. M. INGSTRUP F...
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