Association between neonatal Volkmann's syndrome and perinatal ischemic stroke: review of the literature.

Main Article Content

Elena Pavlidis
Carlotta Spagnoli
Maddalena Duca
Francesco Pisani

Keywords

neonatal forearm compartment syndrome, neonatal ischemic limb, neonatal compartment syndrome, perinatal ischemic stroke, cerebral infarction.

Abstract

Background and aim:Neonatal forearm compartment syndrome, also known as neonatal Volkmann’s syndrome, is an uncommon condition for which the pathognomonic finding is the presence of a forearm skin lesion. Stroke in newborns occurs in about 1/1600-5000 births. Aim of the present review is to highlight the possible association of these two conditions. Methods: we performed a review concerning the association of both these conditions. Results: We found only few reports on the association of an ischemic limb injury and a perinatal stroke combined in the same newborn. Conclusions: In light of the high percentage of delayed diagnosis of perinatal stroke, we recommend to perform an accurate neurological evaluation and eventual neuroimaging studies in order to investigate for a cerebral vascular damage and, furthermore, to rule out thrombophilic conditions in infants with signs of a neonatal ischemic limb and/or Volkmann’s syndrome.
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