Question 2801
{"accessible":false,"alternatives":[{"id":13667,"text":"a cause for early hand dominance can be a major territory perinatal arterial infarction that may not have presented in the neonatal period"},{"id":13668,"text":"headache and seizure are well-recognized clinical presentations of infarction in children"},{"id":13669,"text":"large vessel occlusion occurs in kids and is potentially amenable to thrombectomy"},{"id":13670,"text":"secondary neuroexcitatory changes can be identified on the DWI sequence following diffuse hypoxic injury"},{"id":13671,"text":"varicella-related vasculitis most commonly results in cerebellar infarction"}],"archived":false,"correctAlternativeId":13671,"explanation":"\u003cp\u003eAlthough rare, large vessel occlusion is seen in the pediatric population and would be amenable to thrombectomy if identified early. CT angiography acquired at the time of presentation increases the chances of diagnosing large vessel occlusion. \u003c/p\u003e\u003cp\u003eAlthough children can present with classical neurological features of infarction (such as hemiparesis or visual disturbances), headaches and seizures can also be part of the clinical spectrum. Varicella zoster infection can result in cerebellitis (inflammation of the cerebellum) but the most common vasculitis is focal cerebral arteriopathy of the anterior circulation. This can occur anytime within a year of being infected. \u003c/p\u003e\u003cp\u003eAlthough arterial infarction can present in the perinatal period with seizures and/or sudden collapse, it is well recognized that large territory infarctions can be silent and present with early hand dominance or hemiparesis. Diffusion imaging in diffuse hypoxic injury may identify the primary injury with cytotoxic edema in the basal ganglia and cortex but secondary changes can be seen extending along the white matter tracks into the corpus callosum and brainstem.\u003c/p\u003e","id":2801,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2801","nextQuestionPath":"/articles/anoxic-brain-injury/questions/2381","relatedArticles":[{"id":14025,"title":"Hypoxic-ischemic encephalopathy (adults and children)","link":"/articles/hypoxic-ischaemic-encephalopathy-adults-and-children?lang=us"}],"alsoUsedIn":[{"id":1724,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1724","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1724"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":278,"kind":"LiveSchedule","title":"278","link":"https://radiopaedia.org/admin/live_schedules/278"},{"id":1483,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1483","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1483"},{"id":1483,"kind":"Course","title":"Paediatric Lectures - page 1483","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/1483"}],"stem":"\u003cp\u003eWhich of the following statements is FALSE?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2801"}],"attemptsPercentages":[{"alternativeId":"13668","percentage":11},{"alternativeId":"13671","percentage":59},{"alternativeId":"13667","percentage":12},{"alternativeId":"13670","percentage":8},{"alternativeId":"13669","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"anoxic-brain-injury"}