Brückmann H, Kotlarek F, Biniek R, Rossberg C
Neuroradiologie, Neurologischen Klinik des Klinikums der RWTH, Aachen.
Klin Padiatr. 1989 Mar-Apr;201(2):78-85. doi: 10.1055/s-2007-1025280.
Basal ganglionic infarctions during childhood are comparable in size and favourable prognosis with lacunary infarctions in adults. Considering their etiology they are comparable with capsular infarctions in adults. In four children with basal ganglionic infarctions and acute motoric hemiparesis, a quick and complete regression of clinical signs and CT-findings was observed. With regard to the differential diagnosis of basal ganglionic infarction we additionally report of a female patient with initially unilateral lesion who had silently developed the hemiparesis. In this case the clinical course and the neuroradiological follow-up findings suggested Leigh disease.
儿童期基底节梗死在大小和预后方面与成人腔隙性梗死相当。就病因而言，它们与成人的脑梗死相当。在4例患有基底节梗死和急性运动性偏瘫的儿童中，观察到临床症状和CT表现迅速完全消退。关于基底节梗死的鉴别诊断，我们还报告了1例最初为单侧病变的女性患者，该患者无症状地发展为偏瘫。在这种情况下，临床病程和神经放射学随访结果提示为 Leigh 病。
