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. 2016:2016:2572958.
doi: 10.1155/2016/2572958. Epub 2016 May 29.

Ischemic Stroke in Confederation with Trivial Head Trauma

Archana Balachandran  1 , Siddarameshwar Kalyanshettar  1 , Shankargouda Patil  1 , Vijaykumar Shegji  1
Affiliations

Ischemic Stroke in Confederation with Trivial Head Trauma

Archana Balachandran et al. Case Rep Pediatr. 2016.

Abstract

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.

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Figures

Figure 1
Figure 1
T2 weighted imaging of brain showing acute infarct of left capsuloganglionic region.
Figure 2
Figure 2
Restricted diffusion on DWI noted in left capsuloganglionic region suggestive of acute infarct.
Figure 3
Figure 3
MRI brain (ADC) low signals noted in the left capsule-ganglionic region suggestive of acute infarct.
See this image and copyright information in PMC

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