Abstract:
:Acute infantile bilateral striatal necrosis is a rarely described acute neurological syndrome associated with radiological findings. Its etiology and pathogenic mechanisms are unknown. Clinically, the syndrome usually follows respiratory illnesses and presents with an array of neurological findings, including axial ataxia, grimacing, mutism, head nodding, and high-pitched cry. This study follows a child with acute infantile bilateral striatal necrosis both clinically and radiologically. In addition, for the first time, the authors describe the serial findings of single-photon emission computed tomography (SPECT) from onset of illness through 20 months. Their findings indicate an initial insult apparent on both magnetic resonance imaging and SPECT localized to the basal ganglia, which, although improved over time, does not fully regress. The residual lesion on SPECT was clinically associated with only mild attention deficit disorder and no motor pathology. The authors review the published literature concerning acute infantile bilateral striatal necrosis and suggest possible mechanisms of this poorly understood and probably underreported condition.
journal_name
J Child Neuroljournal_title
Journal of child neurologyauthors
Zevit N,Steinmetz A,Kornreich L,Straussberg Rdoi
10.1177/0883073807304194subject
Has Abstractpub_date
2007-10-01 00:00:00pages
1222-6issue
10eissn
0883-0738issn
1708-8283pii
22/10/1222journal_volume
22pub_type
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