Fatal haemorrhagic infarct in an infant with homocystinuria.

Abstract:

:Thrombotic and thromboembolic complications are the main causes of morbidity and mortality in patients with homocystinuria. However, it is unusual for thrombosis and infarction to be the presenting feature leading to investigation for homocystinuria and cerebrovascular lesions in the first year of life. We describe a previously healthy 6-month-old infant who presented with a large middle-cerebral-artery territory infarction and died of massive brain swelling. Homocystinuria due to cystathionine beta-synthase (CBS) deficiency was diagnosed by metabolite analysis and confirmed by enzymatic activity measurement in a postmortem liver biopsy. Homocystinuria should be considered in the differential diagnosis of venous or arterial thrombosis, regardless of age, even in the absence of other common features of the disease. We recommend systematic metabolic screening for hyperhomocysteinemia in any child presenting with vascular lesions or premature thromboembolism.

journal_name

Dev Med Child Neurol

authors

Cardo E,Campistol J,Caritg J,Ruiz S,Vilaseca MA,Kirkham F,Blom HJ

doi

10.1017/s0012162299000250

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

132-5

issue

2

eissn

0012-1622

issn

1469-8749

journal_volume

41

pub_type

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