RT Journal
A1 Sánchez Fernández I, Peters JM
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2009
FD February 2
VO 163
IS 2
SP 179
OP 179
DO 10.1001/archpediatrics.2008.520-a
UL http://dx.doi.org/10.1001/archpediatrics.2008.520-a
AB 
At the age of 5 months, he had a left hemiparesis due to a right anterior cerebral artery stroke. At the age of 11 months, he presented with a right hemiparesis and focal right-sided seizures from a left middle cerebral artery stroke (Figure 1). The results of cardiologic evaluation, including cardiac ultrasonography, were normal. Extensive hematologic workup and genetic screening for a hypercoagulable state were unrevealing. Magnetic resonance imaging and the concurrent magnetic resonance angiogram prompted a conventional 4-vessel angiogram (Figure 2).