[A case of Down syndrome with moyamoya syndrome presenting extensive multiple cerebral infarction during measles infection].
No To Hattatsu
; 32(1): 39-43, 2000 Jan.
Article
em Ja
| MEDLINE
| ID: mdl-10655750
ABSTRACT
We report a case of a 2-year-old boy with Down syndrome complicated by Moyamoya syndrome who developed extensive multiple cerebral infarction after status epilepticus on the third day of a measles infection. MR angiography revealed the occlusion of the terminal portion of the bilateral internal carotid artery and the basilar artery. Fever, dehydration, activation of coagulation associated with the infection, relatively decreased cerebral blood flow during status epilepticus, and central nervous invasion of the measles virus may have played a role in the development of the infarction. Moyamoya like cerebrovascular lesions occur more often and is more aggressive in children with Down syndrome than in the general pediatric population, and their clinical presentation is always the infarction type. In patients with Down syndrome complicated by Moyamoya syndrome, an early diagnosis and prevention of infarction are important.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
/
4_TD
Problema de saúde:
2_enfermedades_transmissibles
/
2_muertes_prematuras_enfermedades_notrasmisibles
/
4_measles
Assunto principal:
Infarto Cerebral
/
Síndrome de Down
/
Sarampo
/
Doença de Moyamoya
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
Ja
Revista:
No To Hattatsu
Ano de publicação:
2000
Tipo de documento:
Article