Balachandran Archana, Kalyanshettar Siddarameshwar, Patil Shankargouda, Shegji Vijaykumar
Department of Pediatrics, Shri. B.M. Patil Medical College Hospital and Research Centre, BLDE University, Vijayapur, Karnataka 586103, India.
Case Rep Pediatr. 2016;2016:2572958. doi: 10.1155/2016/2572958. Epub 2016 May 29.
Minor head injuries in children are common, resulting in brain concussion, and these injuries mostly end up without complications. Usually head trauma results in hemorrhagic stroke. Here we present a case of ischemic stroke following a trivial head trauma. A 10-month-old girl presented with posttraumatic right sided hemiparesis with right sided facial palsy. MRI brain revealed an area of acute infarct in the left capsuloganglionic region. The child was initially managed conservatively, as the hematological parameters were normal, and was started on anticoagulant therapy. An improvement in the clinical condition was achieved in 12 hrs of treatment with gain in power and resolution of weakness in 10 days. The specific cause for hemiparesis in the child is not elicited; possibility of genetic and environmental factors can be attributable.
儿童轻度头部损伤很常见，会导致脑震荡，且这些损伤大多最终无并发症。通常头部外伤会导致出血性中风。在此我们报告一例轻微头部外伤后发生缺血性中风的病例。一名10个月大的女孩出现创伤后右侧偏瘫伴右侧面瘫。脑部MRI显示左侧豆状核-神经节区域有急性梗死灶。由于血液学参数正常，该患儿最初接受保守治疗，并开始抗凝治疗。治疗12小时后临床状况有所改善，10天内力量增强且无力症状消失。未明确患儿偏瘫的具体原因；可能与遗传和环境因素有关。
