Thalamic infarction in childhood due to extracranial vertebral artery abnormalities.
We report two children who developed thalamic infarctions which were demonstrated by CT. Both children had apparently normal angiograms although the extra cranial portions of the vertebral arteries were not demonstrated on the initial examination. Subsequent angiograms demonstrated abnormalities of the cervical portion of the vertebral arteries, dissection and pseudoaneurysm in one case and a large fusiform aneurysm in the other. Both children made full neurological recoveries. The thalamus is supplied by branches from the vertebro-basilar circulation and it is important to study the entire length of the extra cranial vertebral arteries as well as the intracranial vasculature.
Randall
J M
JM
Department of Neuroradiology, Newcastle General Hospital, Newcastle upon Tyne, UK.
Griffiths
P D
PD
Gardner-Medwin
D
D
Gholkar
A
A
D000293:Adolescent; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D002560:Cerebrovascular Circulation; D002648:Child; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D013788:Thalamus / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery