Evolving Pediatric Cerebral Arteriopathy On Neuroimaging
- *Corresponding Author:
- Mubeen F Rafay
Section of Neurology
Department of Pediatrics and Child Health
University of Manitoba
AE308 – 820 Sherbrook St
Winnipeg, MB R3A 1R9, Canada
E-mail: [email protected]
Received date: December 30, 2015 Accepted date: February 11, 2016 Published date: February 18, 2016
Citation: Rafay MF, Leung ECW, Bunge M, Iancuc D, Strong JE (2016) Evolving Pediatric Cerebral Arteriopathy on Neuroimaging. J Pediatr Neurol Med 1:105. doi:10.4172/2472-100X.1000105
Copyright: © 2016 Rafay M F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Progressive cerebral arteriopathies are not an uncommon cause of ischemic stroke in children. The clinical and radiological distinction between various cerebral arteriopathies remains a challenge and topic of controversy for physicians. Methods: We report an 11-year-old girl who presented with a left subcortical ischemic stroke. Results: An 11-year-old girl presented with a progressive right hemiparesis. Her neuroimaging showed diffusion restriction and T2 signal abnormalities in the left basal ganglia with normal magnetic resonance and CT angiography. Subsequent MRA and cerebral catheter angiography at 9 days post-stroke revealed medium and large vessel stenoses of bilateral distal anterior cerebral arteries, proximal and distal segment of left middle cerebral artery, and distal left internal cerebral artery. Conclusion: This case demonstrates the uncertainties and challenges related to ischemic stroke due to cerebral arteriopathies and the importance of early evaluation with cerebral catheter angiogram with unidentified ischemic stroke etiology and normal initial non-invasive angiography.