Where the cerebral infarction meets child, be vigilant about patent foramen ovale: a case report

Zai-qiang Zhang, Jia-wang Ding
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Abstract

While cerebral infarction in children is rare, its prognosis is poor, and this condition can seriously burden society and families. A correlation between patent foramen ovale (PFO) and ischemic stroke has not been found in pediatric patients.We report a 7-year-old boy who suffered from multiple cerebral infarctions. Subsequently, the patient was diagnosed with an abnormal shunt of PFO. He underwent PFO closure and was followed up for 1 year. The patient did not experience any further cerebral infarction.With this case report, we want to illustrate that although the incidence rate of ischemic cerebral infarction in adolescents is very low, we should not neglect the role of PFO. Therefore, after exclusion other causes of cerebral infarction, PFO should be considered in adolescent and adult stroke patients with adult closure criteria in the same way.
脑梗塞与儿童相遇,警惕卵圆孔未闭:病例报告
儿童脑梗死虽然罕见,但预后不良,会给社会和家庭带来严重负担。我们报告了一名患有多发性脑梗塞的 7 岁男孩。随后,患者被诊断为 PFO 分流异常。他接受了 PFO 关闭术,并接受了 1 年的随访。通过本病例报告,我们想说明,虽然青少年缺血性脑梗死的发病率很低,但我们不应忽视 PFO 的作用。因此,在排除其他脑梗死原因后,对于青少年和成人卒中患者,应按照成人闭合标准考虑 PFO。
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