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Chickenpox and stroke in children: case studies and literature review
Author(s) -
Reis Ana F,
Pais Patrícia,
Monteiro José P
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12535
Subject(s) - medicine , stroke (engine) , thrombus , chickenpox , internal capsule , ischaemic stroke , differential diagnosis , basal ganglia , cardiology , radiology , pathology , ischemia , central nervous system , magnetic resonance imaging , immunology , mechanical engineering , virus , engineering , white matter
Postvaricella cerebral arteriopathy ( PVCA ) presents with acute haemiparesis and/or haemidistonia, caused by ischaemic lesions of internal capsule and/or basal ganglia, related to stenosis of proximal middle and/or anterior cerebral arteries. Anti‐aggregant drugs are recommended to prevent thrombus expansion and recurrent stroke, but neurologic outcome is usually good regardless of the therapeutic approach. Conclusion Chickenpox should be considered in differential diagnosis of ischaemic stroke in healthy children who fit the clinical and radiological typical profile of PVCA .