Acta Paediatr 2014 Apr 1;103(4):e176-80. Epub 2014 Jan 1.
Department of Paediatrics, Hospital Garcia de Orta, Almada, Portugal.
Unlabelled: Postvaricella cerebral arteriopathy (PVCA) presents with acute haemiparesis and/or haemidistonia, caused by ischaemic lesions of internal capsule and/or basal ganglia, related to stenosis of proximal middle and/or anterior cerebral arteries. Anti-aggregant drugs are recommended to prevent thrombus expansion and recurrent stroke, but neurologic outcome is usually good regardless of the therapeutic approach.
Conclusion: Chickenpox should be considered in differential diagnosis of ischaemic stroke in healthy children who fit the clinical and radiological typical profile of PVCA.