Maki Y, Akimoto H, Enomoto T
Childs Brain. 1980;7(3):113-23. doi: 10.1159/000119936.
7 pediatric patients with injuries of basal ganglia following head trauma were reported. They ranged in age from 10 months to 10 years. 5 boys and 2 girls comprised the patients. Cases 1--4 are mild cases in which the children fell down backward while playing, followed by a minimum loss of consciousness. In every case there was hemiparesis, but all of them showed remarkable recovery. CT findings are that of unilateral basal ganglia infarction. In cases 5--7, patients suffered from symptoms of brain contusion after running out in front of an oncoming car, and they developed hemiparesis. CT findings in cases 5 and 6 showed unilateral infarction. CT of case 7 showed a massive unilateral hemorrhage of the basal ganglia. All 7 cases sustained only slight scalp wounds and no skull fracture in spite of the severity of injuries signs and CT findings. This discrepancy seems to be explained only by the so-called shearing strain theory. But we have hypothesized that anterior stretch of the lateral branch of the perforator of the middle cerebral artery plays a major role in its pathogenesis.
报告了7例头部外伤后基底节损伤的儿科患者。他们的年龄从10个月到10岁不等。患者包括5名男孩和2名女孩。病例1 - 4为轻症，患儿玩耍时向后摔倒，随后有短暂意识丧失。每例均有偏瘫，但均恢复显著。CT表现为单侧基底节梗死。病例5 - 7中，患者在跑到迎面而来的汽车前出现脑挫伤症状，并发展为偏瘫。病例5和6的CT表现为单侧梗死。病例7的CT显示基底节单侧大量出血。尽管损伤体征和CT表现严重，但所有7例仅伴有轻微头皮损伤，无颅骨骨折。这种差异似乎只能用所谓的剪切应变理论来解释。但我们推测大脑中动脉穿支外侧分支的前部拉伸在其发病机制中起主要作用。
