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Journal of the Korean Child Neurology Society 2013;21(3):213-218.
Published online September 30, 2013.
Multifocal Cerebral Infarction Associated with Patent Foramen Ovale in Fifteen-year-old Male : A Case Report.
Young Hwa Kong, Sun Jun Kim
Department of Pediatrics, Chonbuk National University Medical School and Hospital, Jeonju, Republics of Korea. sunjun@jbnu.ac.kr
Abstract
Infarction is an uncommon occurrence in healthy young patients. Despite the lower mortality rate of infarction in the pediatric patients, there is a high social impact of the disease. Recent years are represented by the increased attention that is placed on detecting risk factors of infarction. Patent foramen ovale (PFO) is attributable to the important risk factor that has been associated with cerebral infarction of unknown etiology or cryptogenic infarction. Since the treatment to prevent recurrence in infarction is percutaneous closure with permanently implanted closure devices. We present a case of fifteen-year-old male who admitted to hospital after he had paresthesia and hemiparesis. His physical, cardiologic and neurologic examinations were normal, except for the left hemiparesis and left finger paresthesia. On admission, magnetic resonance imaging and magnetic resonance imaging spectroscopy revealed multifocal hyperintense lesions consistent with acute ischemic events. Further evaluation with an aim to define the cause of infarction revealed a PFO with right-to-left shunt. He was underwent closure of the PFO using the Amplatzer occluder(R). Since one year after procedure, the patient has been visiting the out-patient department without recurrence of neurologic or cardiologic events.
Key Words: Cryptogenic infarction, Patent foramen ovale (PFO), Multi-focal infarction
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