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Neurology 2003;61:531-533
© 2003 American Academy of Neurology
Brief Communications

Widening spectrum of congenital hemiplegia

Periventricular venous infarction in term neonates

J. Takanashi, MD, A.J. Barkovich, MD, D.M. Ferriero, MD, H. Suzuki, MD and Y. Kohno, MD

From the Neuroradiology Section, Department of Radiology (Drs. Takanashi and Barkovich), Child Neurology, Department of Neurology and Pediatrics (Dr. Ferriero), University of California San Francisco; and Department of Pediatrics (Drs. Takanashi, Suzuki, and Kohno), Graduate School of Medicine, Chiba University, Chiba, Japan.

Address correspondence and reprint requests to Dr. Jun-ichi Takanashi, Department of Pediatrics, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8677, Japan; e-mail: jtaka{at}med.m.chiba-u.ac.jp

MRI in five term children with congenital hemiplegia without clinically apparent prenatal or perinatal difficulties showed a focal or porencephalic enlargement of the lateral ventricle and periventricular T2 prolongation, which were identical to findings of periventricular venous infarction seen in preterm children. Some cases of congenital hemiplegia in term neonates may be due to clinically silent periventricular venous infarction that occurred in utero.




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