Nishiki T, Takeuchi Y, Yamazoe I, Yoshioka H, Sawada T
Department of Pediatrics, Kyoto Prefectural University of Medicine, Japan.
Pediatr Neurol. 1994 Mar;10(2):153-6. doi: 10.1016/0887-8994(94)90049-3.
A patient with unusual alternating hemiplegia in childhood is reported. The frequency of hemiplegic episodes was lower than that in other reported patients. Interictal positron emission tomography revealed decreased cerebral blood flow in the left hemisphere. After cerebral angiography, postanesthetic irritability occurred which evolved into coma with hemiplegic episodes. We believe that cerebral angiography in a child with alternating hemiplegia may cause hemiplegic episodes and coma. The episodes disappeared almost completely for 6 years after treatment with flunarizine, thus indicating the benefit of the medication for the treatment of alternating hemiplegia.
