Selective injury of the globus pallidus in children with post-cardiac surgery choreic syndrome.

Abstract:

:Occasionally children undergoing cardiac surgery using cardiopulmonary bypass with deep hypothermia and cardiac arrest develop a postoperative syndrome of acute chorea. The authors report the neuropathological findings in two such children surgically treated for congenital heart disease. Examination of the brain showed neuronal loss, reactive astrocytosis and degeneration of myelinated fibers (without frank necrosis) in the globus pallidus, primarily the outer segment, with sparing of other regions commonly susceptible to hypoxic-ischemic necrosis. The localization and relative mildness of the brain damage suggest a susceptibility of the globus pallidus to injury in this setting and implicate disruption of pallidal pathways in the pathogenesis of post-cardiac surgery choreic syndrome.

journal_name

Dev Med Child Neurol

authors

Kupsky WJ,Drozd MA,Barlow CF

doi

10.1111/j.1469-8749.1995.tb11983.x

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

135-44

issue

2

eissn

0012-1622

issn

1469-8749

journal_volume

37

pub_type

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