RESUMEN
A 9 1/2-year-old boy developed a progressive dyskinesia 7 years after an angiographically demonstrated internal cerebral vein thrombosis. CT revealed bilateral thalamic lesions, more severe on the side contralateral to the movement disorder, without striatal involvement. This is a rare example of survival after internal cerebral vein thrombosis in a child and demonstrates that movement disorders may be delayed consequences of childhood stroke.
Asunto(s)
Embolia y Trombosis Intracraneal/complicaciones , Trastornos del Movimiento/etiología , Encéfalo/irrigación sanguínea , Preescolar , Humanos , Embolia y Trombosis Intracraneal/diagnóstico por imagen , Masculino , Enfermedades Talámicas/diagnóstico por imagen , Enfermedades Talámicas/etiología , Tomografía Computarizada por Rayos XAsunto(s)
Acetábulo/lesiones , Cartílago Articular/lesiones , Fracturas Óseas/diagnóstico por imagen , Fracturas del Cartílago , Acetábulo/diagnóstico por imagen , Cartílago Articular/diagnóstico por imagen , Preescolar , Lesiones de la Cadera , Articulación de la Cadera/diagnóstico por imagen , Humanos , Masculino , RadiografíaRESUMEN
While a patient was being evaluated for melena, a glucagon-induced hypotonic examination of the small intestine demonstrated a small ulcerated mass in the jejunum. The tubeless hypotonic examination was performed after multiple gastrointestinal series, small intestinal series, barium enemas, and visceral arteriography--including celiac and superior mesenteric arteriograms--failed to identify a bleeding site. Surgical exploration revealed three ulcerated lymphomatous lesions in the jejunum. The lack of side effects, rapidity of onset, and shortness of duration of intravenous glucagon suggest that this type of hypotonic examination of the small intestine may prove useful as an adjunct to the small intestinal series.
