Mechanisms of Pediatric Cerebral Arteriopathy: An Inflammatory Debate

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Date of download: 7/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Stroke in a Healthy 46-Year-Old Man JAMA. 2001;285(21):

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Mechanisms of Pediatric Cerebral Arteriopathy: An Inflammatory Debate Aleksandra Mineyko, MD, Adam Kirton, MD, MSc Pediatric Neurology Volume 48, Issue 1, Pages 14-23 (January 2013) DOI: 10.1016/j.pediatrneurol.2012.06.021 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 Focal cerebral arteriopathy. A 14-year-old previously healthy girl with no history of trauma presented with acute left hemiparesis. She had demonstrated viral upper respiratory tract signs 2 weeks earlier. (A) Initial axial diffusion weighted imaging magnetic resonance imaging reveals restricted diffusion involving the right middle cerebral artery territory, consistent with an acute arterial ischemic stroke. (B) Conventional cerebral angiogram of the right internal carotid artery indicates abnormal striae in the distal internal carotid artery and middle cerebral artery (arrow). (C) Initial magnetic resonance angiography demonstrates irregularity of the right M1 and M2 segments (arrow). The patient was treated with antithrombotics and steroids. (D) Follow-up magnetic resonance angiography at 6 months demonstrates the improved caliber of these vessels (arrow). Pediatric Neurology 2013 48, 14-23DOI: (10.1016/j.pediatrneurol.2012.06.021) Copyright © 2013 Elsevier Inc. Terms and Conditions