title: Cerebral infarction associated with possible enteroviral infection in an infant.
abstract: Enterovirus infection has been rarely reported to cause cerebral infarction in infants. We describe a 2-month-old boy with right focal seizure and right hemiparesis associated with enterovirus infection during an epidemic of enterovirus 71 infection in Taiwan in 1998. Magnetic resonance imaging and angiography showed vasculitis in the left anterior cerebral artery with cerebral infarction. In the unclarified pathogenesis of cerebral disease in enterovirus infection, this case suggests focal vasculitis with subsequent cerebral infarction. Enterovirus-related vasculitis of the central nervous system is thus another consideration when facing a child with focal seizure, acute hemiplegia and cerebral infarction.
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Wen-Hsin
authors.initials: WH
authors.lastname: Tsai
authors.forename: Wang-Tso
authors.initials: WT
authors.lastname: Lee
authors.forename: Chun-Yi
authors.initials: CY
authors.lastname: Lu
authors.forename: Steven Shinn-Forng
authors.initials: SS
authors.lastname: Peng
authors.forename: Yu-Zen
authors.initials: YZ
authors.lastname: Shen
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000473:pathology* / Q000503:physiopathology; D002220:Carbamazepine / Q000627:therapeutic use; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D003490:Cyanosis / Q000209:etiology; D004569:Electroencephalography; D004770:Enterovirus / Q000302:isolation & purification; D004769:Enterovirus Infections / Q000150:complications* / Q000628:therapy; D006801:Humans; D007223:Infant; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D012640:Seizures / Q000209:etiology / Q000628:therapy; D013624:Taiwan; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine