PEDIATRICS Vol. 98 No. 2 August 1996, pp. 290-291
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Brain Injury in a Healthy Child One Year After Periureteral Injection of Teflon

Renato Borgatti MD, PhD1, Alberto Tettamanti MD2, and Paolo Piccinelli MD3

1 Department of Child Neuropsychiatry, National Medical Research Institute "Eugenio Medea", 22040 Bosisio Parini (Lecco), Italy
2 Pediatric Unit, National Medical Research Institute "Eugenio Medea", 22040 Bosisio Parini (Lecco), Italy
3 Child Neurology and Psychiatry Unit, University of Pavia, Unita' Socio Sanitaria Locale 1, 21100 Varese, Italy

This report presents the case of a previously healthy 6-year-old girl who had an ischemic injury corresponding to the territory perfused by the lateral branches of the lenticulostriate arteries of the middle cerebral artery. Stroke in childhood is rare, and the specific causes are identified in only half the cases. Our patient was carefully studied for any hereditary or acqired risk Factors for stroke, but we found only one, an endoscopic injection of Teflon performed 1 year before to correct vesicoureteral reflux. This suggests the risk of potential migration of Teflon particles to the brain, here they can block the microcirculation.

Submitted on August 1, 1995
Accepted on October 11, 1995




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