Pure Motor Stroke Secondary to Cerebral Infarction of Recurrent Artery of Heubner after Mild Head Trauma: A Case Report.
BACKGROUND
The recurrent Heubner's artery is the distal part of the medial striate artery. Occlusion of the recurrent artery of Heubner, classically contralateral hemiparesis with fasciobrachiocrural predominance, is attributed to the occlusion of the recurrent artery of Heubner and is widely known as a stroke syndrome in adults. However, isolated occlusion of the deep perforating arteries following mild head trauma also occurs extremely rarely in childhood.


METHODS
Here we report the case of an 11-year-old boy with pure motor stroke. The brain MRI showed an acute ischemia in the recurrent artery of Heubner supply area following mild head trauma. His fasciobrachial hemiparesis and dysarthria were thought to be secondary to the stretching of deep perforating arteries leading to occlusion of the recurrent artery of Heubner.


CONCLUSIONS
Post-traumatic pure motor ischemic stroke can be secondary to stretching of the deep perforating arteries especially in childhood.
Adnan Menderes University, Faculty of Medicine, Neurosurgery Department, Aydin, Turkey.
Ali
A
Yilmaz
Adnan Menderes University, Faculty of Medicine, Neurosurgery Department, Aydin, Turkey.
Zahir
Z
Kizilay
Adnan Menders University, Faculty of Medicine, Department of Neurology, Aydin, Turkey.
Ayca
A
Ozkul
Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Turkey.
Bayram
B
Çirak
Heubner artery; childhood stroke; head trauma; post-traumatic stroke