[Neonatal focal seizures and transitory inappropriate ADH secretion syndrome due to an infarction in the region of the middle cerebral artery].
Cerebral arterial infarction is a very rare condition during the neonatal period. In recent times, cerebral infarctions with an atypical bland course are reported in healthy, unsuspected newborns. For the first time, we saw focal seizures and a transient syndrome of inappropriate ADH secretion in a full-term, male newborn with an infarction of the middle cerebral artery as the first sign of this disorder. On the basis of these rare clinical manifestations, the literature about neonatal cerebral infarction is reviewed. The diagnostic possibilities and prognostic expectations are discussed. It is the aim of this case report to call attention to this rare disease in order to avoid a delay in diagnosis and therapy, even if the initial manifestations are atypical.
Lackmann
G M
GM
Klinik für Kinder- und Jugendmedizin, Philipps-Universität, Marburg.
Töllner
U
U
Kahle
G
G
Kleine-Kraneburg
H
H
D002536:Cerebral Arteries; D002544:Cerebral Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000209:etiology*; D007231:Infant, Newborn; D008297:Male; D012640:Seizures / Q000209:etiology*; D014057:Tomography, X-Ray Computed
Fokale Neugeborenenkrämpfe und transitorisches Syndrom der inadäquaten ADH-Sekretion durch Infarkt im Bereich der A. cerebri media.