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PEDIATRICS Vol. 106 No. 3 September 2000, pp. 614-616

Timing and Etiology of Neonatal Cerebral Infarction

The first 20% of the full text of this article appears below.

To the Editor.

I read with interest the article by Mercuri et al1 in reference to outcome in neonatal cerebral infarction, having recently experienced a term infant with this unexpected event. The article provides reassuring data regarding neurologic outcome in the infants described, with follow-up from 12 months to 5 years. The correlation of size and distribution of infarct with ultimate progression to hemiplegia was expected, and provides some useful measure for predicting prognosis. Perhaps most reassuring was the lack of correlation between antenatal and perinatal events and neurologic outcome, inasmuch as one naturally looks for inciting events when such a catastrophic neonatal occurrence is discovered. Koelfen et al2 suggested in their series that neonatal stroke represented a late intrauterine event, and Barmada et al3 confirmed at autopsy . . . [Full Text of this Article]


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