Fetomaternal hemorrhage as an etiology of neonatal stroke.
We report a term infant who presented with focal seizures and was diagnosed with a large left hemispheral infarct. Evaluation revealed extensive fetomaternal hemorrhage and subsequent neuroimaging disclosed a classic border zone infarct consistent with a hypoperfusion injury. We postulate that fetomaternal hemorrhage should be considered in the differential causation of neonatal stroke. The unilaterality of the lesion in this patient is difficult to explain.
Boyce
L H
LH
Department of Neurology, College of Physicians and Surgeons of Columbia University, New York, New York.
Khandji
A G
AG
DeKlerk
A M
AM
Nordli
D R
DR
D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005331:Fetomaternal Transfusion / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D009778:Occipital Lobe / Q000473:pathology; D010296:Parietal Lobe / Q000473:pathology; D011247:Pregnancy; D014057:Tomography, X-Ray Computed