Cerebral Infarction in Newborns: Report of Two Cases

新生兒大腦血管梗塞：二病例報告

黃清峰(Ching-Feng Huang) ； 洪志興(Chih-Hsing Hung) ； 李春銘(Chuen-Ming Lee) ； 歐天元(Tien-Yuan Ou) ； 陳震宇(Cheng-Yu CHen) ； 喻永生(Yeong-Seng Yuh) ； 許木嶺(Mu-Ling Hsu)

《Acta Paediatrica Taiwanica》 41卷3期 (2000/06) Pp. 147-150

https://doi.org/10.7097/APT.200006.0147

摘要

新生兒大腦血管梗塞所表現的症狀都是非特異性的，而且經常並不明顯。因此許多症狀不典型的病患，便無法於新生兒獲得確切的診斷。神經學檢查正常的新生兒也可能潛伏大腦血管梗塞。有此篇文章報告兩位大腦梗塞之新生兒，其中一位具有臨床抽搐症狀，其腦部電腦斷層可見一低強訊號區域；磁振血管攝影可見大腦動脈管逕變小、分支變少。而另一位新生兒神經學檢查正常，轉院的主國是發紺，在超音波下可見一局部高迴間區域；在T2加強磁掁影像下可見一高強度訊號區域。本文並回顧此疾病之發生率、病因、臨床及放射學上之表現。

關鍵字

大腦血管梗塞 ； 新生兒 ； 癲癇

並列摘要

Neonates with cerebral infarction do not present with specific symptoms and the condition is usually insidious, so many atypical cases are not diagnosed properly during the neonatal stage. Normal neurological examination results may be found in newborns who have actually had a cerebral infarction insidiously. We present two newborns with cerebral infarction. One had clinical symptoms of seizures. Brain computed tomography showed a low-attenuated area and magnetic resonance angiography showed a decreased caliber and number of cerebral artery branches. The other had normal neurological examination results. He was referred to our hospital due to cyanosis. Brain sonography revealed a focal hyperechoic area and T2 weighted magnetic resonance image showed an increased signal intensity area. The incidence, etiologies, clinical and radiographic findings are also reviewed.

並列關鍵字

cerebral infarction ； newborn ； seizure