Multifocal Cerebral Infarction Associated with Patent Foramen Ovale in Fifteen-year-old Male : A Case Report / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 213-218, 2013.
Article
in En
| WPRIM
| ID: wpr-27416
Responsible library:
WPRO
ABSTRACT
Infarction is an uncommon occurrence in healthy young patients. Despite the lower mortality rate of infarction in the pediatric patients, there is a high social impact of the disease. Recent years are represented by the increased attention that is placed on detecting risk factors of infarction. Patent foramen ovale (PFO) is attributable to the important risk factor that has been associated with cerebral infarction of unknown etiology or cryptogenic infarction. Since the treatment to prevent recurrence in infarction is percutaneous closure with permanently implanted closure devices. We present a case of fifteen-year-old male who admitted to hospital after he had paresthesia and hemiparesis. His physical, cardiologic and neurologic examinations were normal, except for the left hemiparesis and left finger paresthesia. On admission, magnetic resonance imaging and magnetic resonance imaging spectroscopy revealed multifocal hyperintense lesions consistent with acute ischemic events. Further evaluation with an aim to define the cause of infarction revealed a PFO with right-to-left shunt. He was underwent closure of the PFO using the Amplatzer occluder(R). Since one year after procedure, the patient has been visiting the out-patient department without recurrence of neurologic or cardiologic events.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Outpatients
/
Paresis
/
Paresthesia
/
Recurrence
/
Social Change
/
Spectrum Analysis
/
Magnetic Resonance Imaging
/
Cerebral Infarction
/
Risk Factors
/
Mortality
Type of study:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Journal of the Korean Child Neurology Society
Year:
2013
Type:
Article