Pediatric Neurology
Volume 29, Issue 3 , Pages 256-259, September 2003

Brainstem cranial-nerve lesions in an infant with hypoxic cerebral injury

  • Seiichi Sugama, MD

      Affiliations

    • Department of Pediatrics, Tokyo Metropolitan Maternity and Child Health Institute, Tokyo, Japan
    • Corresponding Author InformationCommunications should be addressed to: Dr. Sugama; Department of Pediatrics; Tokyo Metropolitan Ohtsuka Hospital; 2-8-1 Minami-Ohtsuka, Toshima-ku; Tokyo 170-8476, Japan.
    • ,
  • Masamichi Ariga, MD

      Affiliations

    • Department of Pediatrics, Tokyo Metropolitan Maternity and Child Health Institute, Tokyo, Japan
    • ,
  • Eiichi Hoashi, MD

      Affiliations

    • Department of Pediatrics, Tokyo Metropolitan Maternity and Child Health Institute, Tokyo, Japan
    • ,
  • Yoshikatsu Eto, MD, PhD

      Affiliations

    • Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan

Received 3 December 2002; accepted 17 March 2003.

Abstract 

Recent studies have revealed that the brainstem is characteristically involved in hypoxic encephalopathy in infants. However, few reports have described clinical and cranial magnetic resonance findings in detail because most patients with brainstem lesions die during delivery or soon afterward. Reported here is a patient who manifested selective brainstem injury caused by perinatal hypoxic cerebral injury and exhibited palsy of the lower-brainstem cranial nerves. Magnetic resonance imaging was used to demonstrate lesions of brainstem cranial nerves, which were consistent with symptoms of brainstem dysfunction.

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PII: S0887-8994(03)00232-7

doi:10.1016/S0887-8994(03)00232-7

Pediatric Neurology
Volume 29, Issue 3 , Pages 256-259, September 2003

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