Karande S C, Kulthe S G, Lahiri K R, Jain M K
Department of Pediatrics, Seth GS Medical College, Parel, Mumbai.
J Postgrad Med. 1996 Jul-Sep;42(3):84-6.
An eleven year old boy presented with sudden onset right-sided hemiplegia and ipsilateral lower facial weakness. Two-dimensional echo revealed the diagnosis of idiopathic dilated cardiomyopathy with multiple intracardiac clots. MRI scan of head showed infarctions in the area of caudate nuclei, putamen, brain stem and cerebellum. On anticoagulation therapy, all thrombi, except one, disappeared. The child died 2.5 months later due to resistant cardiac failure.
一名11岁男孩突发右侧偏瘫及同侧下部面部无力。二维超声心动图显示诊断为特发性扩张型心肌病伴多发心内血栓形成。头部MRI扫描显示尾状核、壳核、脑干及小脑区域梗死。经抗凝治疗后，除一个血栓外，其余血栓均消失。该患儿于2.5个月后因顽固性心力衰竭死亡。
