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Journal of Child Neurology
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Turner Syndrome and Occlusion of the Internal Carotid Artery

Hironori Komori, MD

Department of Pediatrics and Child Health

Toyojiro Matsuishi, MD

Department of Pediatrics and Child Health

Toshi Abe, MD

Department of Radiology, Kurume University School of Medicine, Kurume, Japan

Yoichi Nagata, MD

Department of Pediatrics and Child Health

Etsuo Ohtaki, MD

Department of Pediatrics and Child Health

Kazuyuki Kojima, MD

Department of Radiology, Kurume University School of Medicine, Kurume, Japan

Shigenori Yukizane, MD

Department of Pediatrics and Child Health

A 2-year-old girl with Turner syndrome was admitted with left hemiplegia and left facial palsy. Serial cranial computed tomographic scan demonstrated multiple cerebral infarctions in the right putamen and right medial cortical areas. Single photon emission computed tomographic scan revealed hypoperfusion from the right frontal to the right temporal area. Right carotid angiography showed narrowing and occlusion of the right internal carotid artery at the sphenoidal portion. Collateral circulation was not detected between the external and internal carotid arteries. Left carotid angiography revealed that the left anterior artery was narrow, and that the left internal carotid artery provided blood to the right internal carotid artery through the anterior communicating artery. These findings suggested that the cerebrovascular abnormality might be due to congenital hypoplasia of arteries in this patient. The unusual combination of cerebral infarction and Turner syndrome was reported. (J Child Neurol 1993;8:412-415).

Journal of Child Neurology, Vol. 8, No. 4, 412-415 (1993)
DOI: 10.1177/088307389300800423
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