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• Clinical Article •
The diagnostic value of 3.0 T MRI in detecting childhood arterial ischaemic stroke
BAI Min  GUO Qian  WU Lin  XU Jin-fa  DI Yu-jin 

DOI:10.3969/j.issn.1674-8034.2013.03.006.


[Abstract] Objective: To explore the diagnostic value of conventional MR sequence, DWI combination with 3D time-of-flight MR angiography (3D TOF MRA) in the childhood arterial ischaemic stroke.Materials and Methods: We retrospectively reviewed the MR images of 18 consecutive children with clinical symptom who underwent conventional MR sequence, DWI and 3D TOF MRA.Results: Of 18 children, 7 cases had a history of infection, 3 cases of trauma, 1 case of Budd-Chiari syndrome and congenital heart disease, 1 case with Down’s syndrome and 1 case with Sturge-Weber syndrome. A total of 53 cerebral infarct lesions and 16 cases of apparent diffusion restricted in all patients were found on MR. Of all cases, 9 cases showed multiple infarctions, 4 cases showed massive cerebral infarction, and one case with no cerebral infarction. MRA results were abnormal in 15 children and normal in 3 children. Of the 15 children, 8 cases were focal cerebral arteriopathy and 7 cases were moyamoya disease. Thirty-four vascular stenoses and three vascular occlusions were detected in 15 patients.Conclusions: The combination of conventional MR sequence, DWI and 3D TOF MRA can be used to detect and identify the site of the artery stenosis and infarction and can provide more information about the timing of stroke events in childhood.
[Keywords] Cerebrovascular accident；Diffusion magnetic resonance imaging；Angiography；Child

BAI Min* Department of Radiology, Liaocheng People’s Hospital, Shandong Province, Liaocheng 252000, China

GUO Qian Department of Neurosurgery, Liaocheng People’s Hospital, Shandong Province, Liaocheng 252000, China

WU Lin Department of Radiology, Liaocheng People’s Hospital, Shandong Province, Liaocheng 252000, China

XU Jin-fa Department of Radiology, Liaocheng People’s Hospital, Shandong Province, Liaocheng 252000, China

DI Yu-jin Department of Radiology, Liaocheng People’s Hospital, Shandong Province, Liaocheng 252000, China

*Correspondence to: Bai M, E-mail: baimin11@163.com

Conflicts of interest   None.

Received  2012-11-28
Accepted  2013-01-22
DOI: 10.3969/j.issn.1674-8034.2013.03.006
DOI:10.3969/j.issn.1674-8034.2013.03.006.

[1]
Fullerton HJ, Chetkovich DM, Wu YW，et al. Deaths from stroke in US children, 1979 to 1998. Neurology, 2002, 59(1): 34-39.
[2]
Amlie-Lefond C, Sébire G, Fullerton HJ. Recent developments in childhood arterial ischaemic stroke. Lancet Neurol. 2008, 7(5): 425-435.
[3]
Golomb MR, Fullerton HJ, Nowak-Gottl U, et al. Male predominance in childhood ischemic stroke findings from the international pediatric stroke study. Stroke, 2009, 40(1), 52-57.
[4]
Fullerton HJ, Wu YW, Sidney S, et al. Risk of recurrent childhood arterial ischemic stroke in a population-based cohort: the importance of cerebrovascular imaging. Pediatrics, 2007, 119(3): 495-501.
[5]
Ganesan V, Prengler M, McShane MA, et al. Investigation of risk factors in children with acuteischaemic stroke. Ann Neurol, 2003, 53(2): 167-173.
[6]
Lo W, Stephens J, Fernandez S. Pediatric stroke in the united states and the impact of risk factors. J Child Neurol, 2009, 24(2): 194-203.
[7]
李久伟，丁昌红，赵若岩，等．儿童缺血性脑卒中远期预后追踪研究．中国循证儿科杂杂志, 2011, 11(6): 406-411.
[8]
Amlie-Lefond C, Bernard TJ, Sébire G, et al. Predictors of cerebral arteriopathy in children with arterial ischemic stroke: results of the international pediatric stroke study. Circulation, 2009, 119(10): 1417-1423.
[9]
Matta AP, Galvão KR, Oliveira BS. Cerebrovascular disorders in childhood: etiology, clinical presentation, and neuroimaging findings in a case series study. Arq Neuropsiquiatr, 2006, 64(2A): 181-185.

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