Case Report
Volume: 1 | Issue: 1 | Published: May 24, 2017 | Pages: 36 - 39 | DOI: 10.24911/ejmcr/1/9
Watershed stroke - an unexpected complication of respiratory syncytial virus bronchiolitis: a case report
Authors: Garan Riley , Christopher D Rittey , Daniel JA Connolly , Santosh R Mordekar
Article Info
Authors
Garan Riley
Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK.
Christopher D Rittey
Department of General Radiology, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, Hardwick Road, Stockton-on-Tees, TS19 8PE. UK.
Daniel JA Connolly
Department of Neuroradiology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK.
Santosh R Mordekar
Department of General Radiology, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, Hardwick Road, Stockton-on-Tees, TS19 8PE. UK
Publication History
Received: May 24, 2017
Accepted: January 01, 1970
Published: May 24, 2017
Abstract
Background: Respiratory syncytial virus (RSV) is a common childhood respiratory pathogen, with many reported extrapulmonary manifestations. Neurological involvement was once believed to be temporary or reversible. Case presentation: We report a case of watershed stroke in a young child, occurring as an unexpected complication of severe RSV bronchiolitis. Unexpectedly, brain diffusion-weighted MRI proved that seizures in our patient were a consequence of more significant peripheral perfusion failure and stroke. Conclusion: It is important to distinguish the reversible effects of RSV from those alternative pathological sequelae necessitating changes in clinical management and re-prognostication
Keywords: Infarction, seizure, Respiratory Syncytial Virus, case report, green
