Posttraumatic infarction in the basal ganglia after a minor head injury in a child: case report.
We present a case of posttraumatic infarction in the territory supplied by the lateral lenticulostriate artery after a minor head injury in a child. A 2.5-year-old child was admited to our emergency room after a head-on fall from a height of 50cm. He developed a right hemiparesis and he could not speak properly for about half an hour. An initial computerized tomography of the head taken two hours after the accident was normal. A follow-up CT obtained two days later revealed a hypodense lesion at the left basal ganglia and a diffusion-weighted magnetic resonance imaging disclosed an area of infarction. The patient was conservatively medicated and full recovery was made in three weeks. Hospital admission, careful observation and early diffusion-weighted MR examination should be considered for patients with persistent neurological deficits.
Seçkin
Hakan
H
Ministry of Health Ankara Yildirim Beyazit Research and Training Hospital, 2nd Neurosurgery Clinic, Ankara, Turkey. hakanseckin@tr.net
Demirci
Adnan Yalçin
AY
Değerliyurt
Aydan
A
Dağli
Murat
M
Bavbek
Murad
M
D000058:Accidental Falls; D020144:Basal Ganglia Cerebrovascular Disease / Q000209:etiology*; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology; D002544:Cerebral Infarction / Q000209:etiology*; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology; D014057:Tomography, X-Ray Computed