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Conventional cerebral angiography in children with ischemic stroke

Conventional cerebral angiography in children with ischemic stroke
Conventional cerebral angiography in children with ischemic stroke

A retrospective review of conventional cerebral angiograms of 46 children with ischemic stroke was undertaken. Comparison was made with findings on magnetic resonance imaging and magnetic resonance angiography where available. Thirty-six children (78%) underwent magnetic resonance angiography in addition to conventional cerebral angiography. Seven patients had normal cerebral angiograms. Magnetic resonance angiography was diagnostic in 25 of 28 patients with large vessel occlusion, stenosis, or moya-moya syndrome. Conventional angiography was abnormal in four of nine patients with a normal magnetic resonance angiography. All patients with normal conventional angiograms also had normal magnetic resonance angiograms. Conventional angiography, either diagnostic or yielding further information, altered management in five patients with arterial dissection, one patient with large vessel occlusion, one patient with large vessel stenosis, and four patients with arteritis. On the basis of this experience, a clinical algorithm for the use of conventional cerebral angiography in the investigation of ischemic stroke in children is proposed.

0887-8994
38-42
Ganesan, Vijeya
e3ae2ff5-0d89-43d2-8275-ba35b717149d
Savvy, Lloyd
c28c3235-6270-41c7-94e5-2ab0a0c44f9e
Chong, W. Kling
9c11fb7c-0d7f-44e7-9d2a-9df91db90e24
Kirkham, Fenella J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Ganesan, Vijeya
e3ae2ff5-0d89-43d2-8275-ba35b717149d
Savvy, Lloyd
c28c3235-6270-41c7-94e5-2ab0a0c44f9e
Chong, W. Kling
9c11fb7c-0d7f-44e7-9d2a-9df91db90e24
Kirkham, Fenella J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58

Ganesan, Vijeya, Savvy, Lloyd, Chong, W. Kling and Kirkham, Fenella J. (1999) Conventional cerebral angiography in children with ischemic stroke. Pediatric Neurology, 20 (1), 38-42. (doi:10.1016/S0887-8994(98)00112-X).

Record type: Article

Abstract

A retrospective review of conventional cerebral angiograms of 46 children with ischemic stroke was undertaken. Comparison was made with findings on magnetic resonance imaging and magnetic resonance angiography where available. Thirty-six children (78%) underwent magnetic resonance angiography in addition to conventional cerebral angiography. Seven patients had normal cerebral angiograms. Magnetic resonance angiography was diagnostic in 25 of 28 patients with large vessel occlusion, stenosis, or moya-moya syndrome. Conventional angiography was abnormal in four of nine patients with a normal magnetic resonance angiography. All patients with normal conventional angiograms also had normal magnetic resonance angiograms. Conventional angiography, either diagnostic or yielding further information, altered management in five patients with arterial dissection, one patient with large vessel occlusion, one patient with large vessel stenosis, and four patients with arteritis. On the basis of this experience, a clinical algorithm for the use of conventional cerebral angiography in the investigation of ischemic stroke in children is proposed.

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Published date: January 1999

Identifiers

Local EPrints ID: 429815
URI: http://eprints.soton.ac.uk/id/eprint/429815
ISSN: 0887-8994
PURE UUID: 1ced32cf-15bc-4739-bb46-d506391cd717
ORCID for Fenella J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 05 Apr 2019 16:30
Last modified: 07 Oct 2020 01:46

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Contributors

Author: Vijeya Ganesan
Author: Lloyd Savvy
Author: W. Kling Chong
Author: Fenella J. Kirkham ORCID iD

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