Ischemic stroke due to minor head trauma in a child: a case report

Head trauma usually causes hemorrhage, but in children ischemia of basal ganglia may develop. Traumatic stroke occasionally develops after dissection of brain vessels, leading to disseminated cerebral embolism. Stretching forces in cerebral intraparenchymal arteries can cause vascular damage followe...

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Published inThe European research journal Vol. 5; no. 2; pp. 421 - 423
Main Authors Eraybar, Suna, Katı, Yalçın, Atmaca, Serhat, Torun, Gökhan, Nennicioğlu, Yasemin
Format Journal Article
LanguageEnglish
Published Bursa The Association of Health Research & Strategy 04.03.2019
Subjects
Case reports
Emergency medical care
Head injuries
Motorcycles
NMR
Nuclear magnetic resonance
Stroke
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Summary:Head trauma usually causes hemorrhage, but in children ischemia of basal ganglia may develop. Traumatic stroke occasionally develops after dissection of brain vessels, leading to disseminated cerebral embolism. Stretching forces in cerebral intraparenchymal arteries can cause vascular damage followed by an occluding thrombus. An 18-month-old girl presented to our emergency department with the complaint of head trauma after falling down while playing. Her parents recognized the weakness of her left site extremity after 6 hours after the event. After initial physical examination and further imaging studies brain magnetic resonance imaging (MRI) showed an infarct affecting the caudate nucleus in the right cerebral hemisphere. In childhood, ischemic stroke due to mild head trauma is an exceedingly rare event and may be overlooked in emergency medicine practice. We aimed to emphasize that mild head trauma may cause critical situations such as acute infarct in children.  
ISSN:2149-3189
2149-3189
DOI:10.18621/eurj.396188