Mancuso P, Chiaramonte I, Carpinteri M, Cicero S, Zingale A, Basile L, Tropea R
Istituto di Neurochirurgia, Università degli studi di Catania, Italy.
Childs Nerv Syst. 1994 Mar;10(2):131-4. doi: 10.1007/BF00302778.
Three cases of middle cerebral artery occlusion in children are reported. The origin of M1 was the site of occlusion in two cases, while occlusion 1 cm after the origin of M1 was found in the third. The possible etiological diagnosis was infectious arteritis in the first two cases, cranial trauma in the third. In no case were serious contralateral motor deficits detected in follow-up examinations. Follow-up digital subtraction angiography showed complete regression of arterial lesions in the second case. The authors conclude that middle cerebral artery occlusion may have a benign clinical course in children; surgical revascularization is indicated only in highly selected cases.
本文报告了3例儿童大脑中动脉闭塞病例。2例患者的M1段起始部为闭塞部位，第3例患者的闭塞部位在M1段起始部后1厘米处。前两例患者可能的病因诊断为感染性动脉炎，第3例为颅脑外伤。随访检查中均未发现严重的对侧运动功能缺损。随访数字减影血管造影显示，第2例患者的动脉病变完全消退。作者得出结论，儿童大脑中动脉闭塞可能具有良性临床病程；仅在经过严格筛选的病例中才考虑进行手术血管重建。
