Summary
Neurological complications after cardiac operations with the aid of cardiopulmonary bypass and hypothermia are well known. A 6 months-old child is described with severe neurological complications after cardiac surgery for Fallots tetralogy. On the CT scan cortical calcification was seen to vanish. Such calcification has not been reported in similar patients. Possible causes are discussed but the precise pathophysiology of this phenomenon remains unclear.
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References
Cumming W, Ohlson A (1985) Intracranial calcifications in children with osteopetrosis caused dy carbonic anhydrase II deficiency. Radiology 157: 325–327
Wiesinger JR, Mogollon A, Lander R, Bellorin-Font E, Riera R, Abadi I, Paz-Martinez V (1986) Massive cerebral calcifications associated with increased renal phosphate reabsorbtion. Arch Intern Med 146: 473–477
Davis PC, Hoffman JC, Pearl GS, Braun IF (1986) CT evaluation of effects of cranial radiation therapy in children. AJR 147: 587–592
Lund E, Hamborg-Pedersen B (1984) Computed tomography of the brain following prophylactic treatment with irradiation therapy and intraspinal methotrexate in children with acute lymphoblastic leukemia. Neuroradiology 26: 351–358
Yamanouchi Y, Someda K, Tani S, Kawamura Y, Matsumura H (1980) Gyriform calcification after purulent meningitis. Neuroradiology 20: 159–162
Cardenas-Rivero N, Chernow B, Stoiko MA, Nussbaum SR, Todres ID (1989) Hypocalcemia in critically ill children. J Pediatrics 114: 946–951
Sachs C, Sjoberg HE, Ericson K (1982) Basal ganglia calcification on CT: relation to hypoparathyroidism. Neurology 32: 779–782
Friedman JH, Chiucchini I, Tucci JR (1987) Idiopathic hypoparathyroidism with extensive brain calcification and persistent neurological dysfunction. Neurology 37: 307–309
Moriwaki Y, Matsui K, Yamamamoto T, Hada T, Higashino K (1985) Cerebral subcortical calcification and hypothyreoidism: a case report and review of the literature. Jap J Med 24: 53–56
Lewis E, Lee Y-Y (1986) Computed tomographic findings of severe mineralizing microangiopathy in the brain. J Comput Tomogr 10: 357–364
Swartz JD, Faerber EN, Singh N, Polinsky MS (1983) CT demonstration of cerebral subcortical calcifications. J Comput Assis Tomogr 7: 476–478
Adeloye A, Bohrer S (1971) Intracranial “tram-line” calcification in purulent meningitis. West Afr Med J 20: 195–196
Watanabe N, Kimura A (1975) Intracranial calcifications with severe brain atrophy following purulent meningoencephalitis. Jap J Pediat 28: 71–74
Williams JP, Fowler GW (1972) Gyriform calcification following encephalitis. Neuroradiology 4: 57–59
Eyster EF, Margolis MT (1971) Progressive cortical calcification in a newborn. Neuroradiology 2: 115–118
Westaby S (1987) Organ dysfunction after cardiopulmonary bypass. A systemic inflammatory reaction initiated by the extracorporeal circuit. Intensive Care Med 13: 89–95
Muraoka R, Yokota M, Aoshima M, Kyoku I, Nomoto S, Kobayasi A, Nakano H, Ueda K, Saito A, Hojo H (1981) Subclinical changes in brain morphology following cardiac operations as reflected by computed tomographic scans of the brain. J Thorac Cardiovasc Surg 81: 364–369
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Begeer, J.H., Rutgers, A.W.F., Vencken, L.M. et al. Vanishing calcification of the brain in an infant after open heart surgery. Neuroradiology 33, 374–376 (1991). https://doi.org/10.1007/BF00587831
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DOI: https://doi.org/10.1007/BF00587831