d'Orey M C, Melo M J, Ramos I, Guimaraes H, Alves A R, Silva J S, Vasconcelos G, Costa A, Silva G, Santos N T
Service de néonatologie, hospital de S. Joao, Porto, Portugal.
Arch Pediatr. 1999 Apr;6(4):457-9. doi: 10.1016/s0929-693x(99)80230-9.
In newborn infant, cerebral infarction is often difficult to distinguish from cerebral hemorrhage, both pathologies being moreover frequently associated. We report a left anterior stroke in a fullterm newborn who had seizures on the third day of life. Ultrasound scanning showed a hyperechogenic zone in the territory of the left anterior cerebral artery. Pulsed and color Doppler imaging showed a decreased blood flow velocity in comparison to the opposite side, thus enabling the diagnosis.
在新生儿中,脑梗死常常难以与脑出血区分,而且这两种病变还经常同时出现。我们报告一例足月儿,出生第三天出现惊厥,诊断为左侧前脑中风。超声扫描显示左侧大脑前动脉供血区有一个高回声区。脉冲多普勒和彩色多普勒成像显示与对侧相比血流速度降低,从而得以确诊。