Mannino F L, Trauner D A
J Pediatr. 1983 Apr;102(4):605-10. doi: 10.1016/s0022-3476(83)80200-5.
Five neonates with large cerebral infarctions of arterial origin are presented. Four had severe focal seizures on the first day of life. The fifth, a premature infant, was asymptomatic. The diagnoses were made by computed tomography (CT) scans between 5 and 12 days of life; CT scans obtained in the first few days of life were normal. In the fifth infant, the infarct was hemorrhagic and was also noted by cranial ultrasound. Three of the infants had a history of trauma to the head or neck during labor and birth. Only one was severely asphyxiated at birth. Two apparently are doing well at 1 year of age. Cerebral infarcts of arterial origin in neonates probably have been missed in living patients in the past, but now are recognized in the newborn period by properly timed CT examination.
本文报告了5例动脉源性大脑大面积梗死的新生儿。其中4例在出生第一天出现严重局灶性癫痫发作。第5例为早产儿，无症状。在出生后5至12天通过计算机断层扫描（CT）作出诊断；出生后头几天的CT扫描结果正常。在第5例婴儿中，梗死灶为出血性，经颅脑超声也得以发现。3例婴儿在分娩和出生时有头部或颈部受创伤史。只有1例出生时严重窒息。2例在1岁时情况明显良好。过去，动脉源性新生儿脑梗死在存活患者中可能未被发现，但现在通过适时的CT检查在新生儿期即可识别。
