Wednesday, July 9, 2008
Post-varicella basal ganglia infarct
Additional clinical history: Patient has a history of varicella infection.
Findings
Focal area of hyper intense signal R basal ganglia with increased signal on diffusion imaging and decreased signal on ADC map. Post contrast images showed no enhancement.
Differential diagnosis
- Basal ganglia infarct
- Basal ganglia neoplasm (germinoma)
- Infection (parainfluenza)
Diagnosis: Post-varicella basal ganglia infarct
Key points
Generally presents with unilateral hemiparesis.
Neurologic deficits improve over time with good prognosis.
Usually occurs between 1-4 months after varicella infection.
Etiology is spasm of lenticulostriate arteries.
Treatment: No consensus but steroids or antiplatelet agents are being used.
Labels:
AuntMinnie,
Infectious,
Neuro,
Pediatric,
Vascular
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment