[P1-209] A little girl with right basal ganglion stroke after a minor head trauma
[Case report]: We reported a two-year-old girl, presenting with acute conscious disturbance, left facial palsy and left hemiparesis after a minor head trauma accidently. Brain MRI and MRA showed right basal ganglion infarction, without evidence of cerebral and vertebral vascular anomaly. We excluded the possibility of child abuse. We also did workup, including complete cell counts, biochemistry, hyper-coagulation and autoimmune profiles, and mitochondrial genetic testing, and all testing were negative. We gave low molecule-weight heparin treatment, followed with oral aspirin treatment. She had received intensive rehabilitation intervention, and obvious improvement of left facial palsy and left hemiparesis is noted now.
[Discussion]: Cerebral infarction is quite uncommon in children. Basal ganglion stroke in young infants or children is reported more rarely in the literatures. We did literatures review from 2000 to 2015, and found total 77 cases (Male/Female as 55/22), aging from one month to 8 years old, reporting minor head trauma and basal ganglion stroke. Most cases were reported in the Asians. The possible etiology of perforating arteries injury due to minor head trauma is highly suspected.
[Conclusions]: Although minor head trauma is not associated with severe brain insult, we suggested neurological examinations are still very important to evaluate a child with minor head trauma. And further imaging study is indicated when there are focal neurological symptoms, or abnormal neurological examination findings. For young children with basal ganglion stroke after a minor head trauma, benign neurological outcome is expected.
[Discussion]: Cerebral infarction is quite uncommon in children. Basal ganglion stroke in young infants or children is reported more rarely in the literatures. We did literatures review from 2000 to 2015, and found total 77 cases (Male/Female as 55/22), aging from one month to 8 years old, reporting minor head trauma and basal ganglion stroke. Most cases were reported in the Asians. The possible etiology of perforating arteries injury due to minor head trauma is highly suspected.
[Conclusions]: Although minor head trauma is not associated with severe brain insult, we suggested neurological examinations are still very important to evaluate a child with minor head trauma. And further imaging study is indicated when there are focal neurological symptoms, or abnormal neurological examination findings. For young children with basal ganglion stroke after a minor head trauma, benign neurological outcome is expected.