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Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria
Acute ischemic stroke (AIS) in childhood is defined by a stroke occurring after 28 days of life to 18 years of age. This presents a distinct clinical challenge in terms of both diagnosis and treatment. The overlapping clinical presentations of acute ischemic stroke and its mimics such as migraine wi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315924/ https://www.ncbi.nlm.nih.gov/pubmed/37404224 http://dx.doi.org/10.1016/j.radcr.2023.05.067 |
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author | Hui, Anselm Wang Hei Yau, Maggie Lo Yee Fung, Eva Lai Wah Chan, Ka Chi Lai, Billy Ming Hei Wang, Ki Chu, Winnie Chiu Wing |
author_facet | Hui, Anselm Wang Hei Yau, Maggie Lo Yee Fung, Eva Lai Wah Chan, Ka Chi Lai, Billy Ming Hei Wang, Ki Chu, Winnie Chiu Wing |
author_sort | Hui, Anselm Wang Hei |
collection | PubMed |
description | Acute ischemic stroke (AIS) in childhood is defined by a stroke occurring after 28 days of life to 18 years of age. This presents a distinct clinical challenge in terms of both diagnosis and treatment. The overlapping clinical presentations of acute ischemic stroke and its mimics such as migraine with aura, seizure with Todd paresis and encephalitis renders early accurate diagnosis of this time-sensitive condition difficult, with a change in the final diagnosis in up to 40% of patients. Identification of the etiology after establishing the diagnosis of ischemic stroke is paramount for prognostication and treatment decisions. These include cardioembolic, arteriopathy, thrombophilia and inflammatory causes. Magnetic resonance imaging (MRI) plays an indispensable role towards tackling the initial diagnostic dilemma and subsequent evaluation of the underlying etiology, particularly in patients with arteriopathy. Here we present the MRI findings including vessel wall imaging with longitudinal follow-up, which support the diagnosis of focal cerebral arteriopathy-inflammatory type (FCAi) in a pediatric patient. |
format | Online Article Text |
id | pubmed-10315924 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103159242023-07-04 Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria Hui, Anselm Wang Hei Yau, Maggie Lo Yee Fung, Eva Lai Wah Chan, Ka Chi Lai, Billy Ming Hei Wang, Ki Chu, Winnie Chiu Wing Radiol Case Rep Case Report Acute ischemic stroke (AIS) in childhood is defined by a stroke occurring after 28 days of life to 18 years of age. This presents a distinct clinical challenge in terms of both diagnosis and treatment. The overlapping clinical presentations of acute ischemic stroke and its mimics such as migraine with aura, seizure with Todd paresis and encephalitis renders early accurate diagnosis of this time-sensitive condition difficult, with a change in the final diagnosis in up to 40% of patients. Identification of the etiology after establishing the diagnosis of ischemic stroke is paramount for prognostication and treatment decisions. These include cardioembolic, arteriopathy, thrombophilia and inflammatory causes. Magnetic resonance imaging (MRI) plays an indispensable role towards tackling the initial diagnostic dilemma and subsequent evaluation of the underlying etiology, particularly in patients with arteriopathy. Here we present the MRI findings including vessel wall imaging with longitudinal follow-up, which support the diagnosis of focal cerebral arteriopathy-inflammatory type (FCAi) in a pediatric patient. Elsevier 2023-06-27 /pmc/articles/PMC10315924/ /pubmed/37404224 http://dx.doi.org/10.1016/j.radcr.2023.05.067 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Hui, Anselm Wang Hei Yau, Maggie Lo Yee Fung, Eva Lai Wah Chan, Ka Chi Lai, Billy Ming Hei Wang, Ki Chu, Winnie Chiu Wing Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title | Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title_full | Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title_fullStr | Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title_full_unstemmed | Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title_short | Focal cerebral arteriopathy-inflammatory type in a child – MR diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
title_sort | focal cerebral arteriopathy-inflammatory type in a child – mr diagnosis using vessel wall imaging technique with review of classification and diagnostic evaluation criteria |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315924/ https://www.ncbi.nlm.nih.gov/pubmed/37404224 http://dx.doi.org/10.1016/j.radcr.2023.05.067 |
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