Garg B P, DeMyer W E
Department of Neurology, Indiana University Medical School, Indianapolis, USA.
Pediatr Neurol. 1995 Jul;13(1):46-9. doi: 10.1016/0887-8994(95)00108-r.
Clinical features of thalamic strokes have not been well delineated in children. Six children with ischemic thalamic infarcts (3 M, 3 F; age range: 21 months to 14 1/2 years) are reported. Three patients had infarction in the thalamoperforate artery territory and all had a decreased level of consciousness and hemiparesis; two of them also had associated ocular motility abnormalities. One patient with left thalamotuberal artery stroke presented with aphasia. Two patients with thalamogeniculate artery infarcts had hemiparesis and involvement of the posterior cerebral artery. Etiologic factors in our patients were: infectious vasculitis, congenital heart disease, migraine, and unknown in 1 patient each and trauma in 2 patients. Follow-up information was available for 5, 4 of whom recovered completely. One patient was left with a neurologic deficit. We conclude that the prognosis of ischemic thalamic strokes in children is relatively good.
儿童丘脑卒中的临床特征尚未得到很好的描述。本文报告了6例缺血性丘脑梗死患儿（3例男性，3例女性；年龄范围：21个月至14.5岁）。3例患者丘脑穿通动脉区域梗死，均有意识水平下降和偏瘫；其中2例还伴有眼球运动异常。1例左侧丘脑结节动脉卒中患者出现失语。2例丘脑膝状体动脉梗死患者有偏瘫并累及大脑后动脉。我们患者的病因包括：感染性血管炎、先天性心脏病、偏头痛，各有1例病因不明，2例由创伤引起。5例患者有随访信息，其中4例完全康复。1例患者留有神经功能缺损。我们得出结论，儿童缺血性丘脑卒中的预后相对较好。
