The evolution of ischemic cerebral infarction in infancy: a sonographic evaluation

• Published in: Journal of child neurology Vol. 3; no. 2; p. 105
• Main Authors: Fischer, A Q, Anderson, J C, Shuman, R M
• Format: Journal Article
• Language: English
• Published: United States 01.04.1988
• Subjects: Cerebral Infarction - diagnosis; Cerebral Infarction - diagnostic imaging; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Ischemic Attack, Transient - diagnosis; Ischemic Attack, Transient - diagnostic imaging; Ischemic Attack, Transient - mortality; Male; Tomography, X-Ray Computed; Ultrasonography
• ISSN: 0883-0738
• DOI: 10.1177/088307388800300205

Cranial sonography provides a noninvasive, portable method for imaging the infant brain. This study describes the time-dependent, sonographic findings of infantile cerebral infarction, as well as computed tomographic (CT) scan and neuropathologic confirmation. Three hundred ninety-five infants under 18 months of age were sonogrammed over a period of 18 months. Three infants were diagnosed by cranial sonography and confirmed by CT scan and/or autopsy to have acute ischemic cerebral infarcts. The cases were followed with serial cranial sonograms for up to 18 months of age. The acute sonographic findings included a hyperechoic zone around the infarcted tissue. The subacute infarct had a checkerboard pattern, while the chronic infarcts were anechoic.