FOCAL ISCHEMIC-INJURY OF MIDDLE CEREBRAL-ARTERY IN NEWBORN-INFANTS

Three full term newborns with focal ischemic injury of the middle cere bral artery (MCA) were observed. Diagnosis was suspected by cerebral u ltrasonography (US) in the first year of life and then was confirmed b y CT-scan and/or MRI. rill children had a history of pre-perinatal ris k factors of fetal impairment. Neuropsychological outcome, ranging fro m normal to severe, was evaluated in all three patients; it appears to be related to the type and extension of cerebral injury. In full-term neonates.with discrete, moderate or severe neurologic symptoms the po ssibility of focal ischemic injury in the R-ICA territory should be co nsidered.