Humbertclaude V, Azais M, Hascar T, Echenne B
Service de Neurologie Pédiatrique, Clinique Saint-Eloi, Montpellier.
Rev Neurol (Paris). 1996 Aug-Sep;152(8-9):552-3.
Stroke are not as rare in pediatric patients as once suspected. Exhaustive diagnostic evaluation must be performed, to identify a cause, evaluate risk factors of recurrence and propose preventive treatment. We report a case in a teen-ager secondary to cerebral embolism. These embols have an exceptional origin: pulmonary venous thrombosis, secondary to undifferentiated sarcoma located in the lung and extended to pulmonary vein. Stroke by cerebral embolism are not always originated from heart disease, and may be misdiagnosed only transthoracic echocardiography is realised.
中风在儿科患者中并不像曾经怀疑的那样罕见。必须进行详尽的诊断评估,以确定病因、评估复发风险因素并提出预防性治疗方案。我们报告了一例青少年因脑栓塞引发中风的病例。这些栓子的来源非常特殊:肺静脉血栓形成,继发于位于肺部并延伸至肺静脉的未分化肉瘤。脑栓塞引起的中风并非总是源于心脏病,仅进行经胸超声心动图检查可能会导致误诊。