TY - JOUR
T1 - Hidden dense middle cerebral artery sign in a 4-year-old boy with traumatic subarachnoid hemorrhage
AU - Kim, Bum Joon
AU - Choi, Jong Il
AU - Ha, Sung Kon
AU - Lim, Dong Jun
AU - Kim, Sang Dae
N1 - Publisher Copyright:
© The Author(s) 2013.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2014/12
Y1 - 2014/12
N2 - A 4-year-old boy was admitted with acute onset of hemiplegia of the right side that was secondary to a traffic accident. Initial computed tomography revealed a traumatic subarachnoid hemorrhage, and follow-up computed tomography showed a more localized hematoma of the left sylvian cistern. After a few days of conservative treatment, magnetic resonance imaging (MRI) revealed a cerebral infarction of the left lenticulostriate territory, even though magnetic resonance angiography showed preserved middle cerebral artery flow. Thus, we realized that the hematoma of the sylvian cistern was the so-called dense middle cerebral artery sign. This case of posttraumatic infarction suggested the importance of meticulous investigations and clinical correlations of imaging studies in pediatric patients with head injuries.
AB - A 4-year-old boy was admitted with acute onset of hemiplegia of the right side that was secondary to a traffic accident. Initial computed tomography revealed a traumatic subarachnoid hemorrhage, and follow-up computed tomography showed a more localized hematoma of the left sylvian cistern. After a few days of conservative treatment, magnetic resonance imaging (MRI) revealed a cerebral infarction of the left lenticulostriate territory, even though magnetic resonance angiography showed preserved middle cerebral artery flow. Thus, we realized that the hematoma of the sylvian cistern was the so-called dense middle cerebral artery sign. This case of posttraumatic infarction suggested the importance of meticulous investigations and clinical correlations of imaging studies in pediatric patients with head injuries.
KW - Dense middle cerebral artery sign
KW - Lenticulostriate infarct
KW - Posttraumatic infarction
KW - Striatocapsular infarct
KW - Traumatic subarachnoid hemorrhage
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U2 - 10.1177/0883073813510357
DO - 10.1177/0883073813510357
M3 - Article
C2 - 24282184
AN - SCOPUS:84927757535
VL - 29
SP - NP189-NP192
JO - Journal of Child Neurology
JF - Journal of Child Neurology
SN - 0883-0738
IS - 12
ER -