Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature

Ischemic stroke of basal ganglia after head trauma is rare in children younger than 18 months and accounts for less than 2% of all ischemic strokes in childhood. The clinical history of these lesions is particularly favorable because they are usually small and facial-brachial-crural hemiparesis is t...

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Main Authors: Tarun Varshney, Vinod Sharma, Achal Sharma
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-03-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668468
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author Tarun Varshney
Vinod Sharma
Achal Sharma
author_facet Tarun Varshney
Vinod Sharma
Achal Sharma
author_sort Tarun Varshney
collection DOAJ
description Ischemic stroke of basal ganglia after head trauma is rare in children younger than 18 months and accounts for less than 2% of all ischemic strokes in childhood. The clinical history of these lesions is particularly favorable because they are usually small and facial-brachial-crural hemiparesis is typical of this pathology that regresses over a period of time. The most effective therapeutic approach appears to be a conservative one, although the best treatment regimen is still not well defined. It is necessary to exclude conditions such as heart disease, coagulopathies, and acute traumatic arterial dissections. The authors present a rare case of bilateral basal ganglia infarct in an 18-month-old child following head trauma managed conservatively with good recovery.
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institution Kabale University
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language English
publishDate 2019-03-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Neurosurgery
spelling doaj-art-67c99c6941d44e2091e136ca6c4769cc2025-08-20T03:34:01ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672019-03-01080106106310.1055/s-0038-1668468Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of LiteratureTarun Varshney0Vinod Sharma1Achal Sharma2Department of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, IndiaIschemic stroke of basal ganglia after head trauma is rare in children younger than 18 months and accounts for less than 2% of all ischemic strokes in childhood. The clinical history of these lesions is particularly favorable because they are usually small and facial-brachial-crural hemiparesis is typical of this pathology that regresses over a period of time. The most effective therapeutic approach appears to be a conservative one, although the best treatment regimen is still not well defined. It is necessary to exclude conditions such as heart disease, coagulopathies, and acute traumatic arterial dissections. The authors present a rare case of bilateral basal ganglia infarct in an 18-month-old child following head trauma managed conservatively with good recovery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668468head traumabasal gangliainfarct
spellingShingle Tarun Varshney
Vinod Sharma
Achal Sharma
Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
Indian Journal of Neurosurgery
head trauma
basal ganglia
infarct
title Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
title_full Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
title_fullStr Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
title_full_unstemmed Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
title_short Posttraumatic Bilateral Basal Ganglia Infarct in Pediatric Age—Clinical and Therapeutic Management: A Rare Case Report and Review of Literature
title_sort posttraumatic bilateral basal ganglia infarct in pediatric age clinical and therapeutic management a rare case report and review of literature
topic head trauma
basal ganglia
infarct
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668468
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AT vinodsharma posttraumaticbilateralbasalgangliainfarctinpediatricageclinicalandtherapeuticmanagementararecasereportandreviewofliterature
AT achalsharma posttraumaticbilateralbasalgangliainfarctinpediatricageclinicalandtherapeuticmanagementararecasereportandreviewofliterature