Andrea Ortiz-Ordoñez1*, Rodríguez-Cajiao Felipe1 and Acosta- Quintana, Leonardo2
1Neurosurgery Resident, Universidad San Francisco de Quito USFQ, Colegio de Ciencias
de la Salud, Calle Diego de Robles s/n y Pampite, Quito, Ecuador
2Neurosurgeon at Neurosurgery Department, Carlos Andrade Marín Hospital, Ecuador
*Corresponding Author: Andrea Ortiz-Ordoñez, Universidad San Francisco de Quito USFQ, Colegio de Ciencias de la Salud, Calle Diego de Robles s/n y Pampite, Quito, Ecuador.
Received: May 11, 2020; Published: May 18, 2020
Introduction: Mild head trauma is common in childhood; however, post-traumatic stroke is extremely rare and risk factors are identified in most cases.
Case Report: A 3-year-old male presenting headache, drowsiness, irritability, and left upper limb weakness was admitted after 72 hours of mild head trauma. Imaging showed malignant infarction of right middle cerebral artery and decompressive hemicraniectomy was performed achieving gradual neurological recovery.
Discussion: The intracranial vessel anatomy changes from prenatal life to adulthood, which could predispose to post-traumatic ischemic stroke. This is the first case reporting posttraumatic malignant cerebral infarct in a healthy child due to minor head trauma.
Conclusion: Post-traumatic ischemic stroke in children has been described in the literature, but the pathogenesis remains unclear. The ischemia pattern, the trauma time relation, and the exclusion of other stroke causes, such as arterial dissection and cardio-embolism, lead us to conclude that this association is not coincidental.
Keywords: Mild Head Trauma; Children; Stroke; Malignant Cerebral Infarct; Decompressive Craniectomy
Citation: Andrea Ortiz-Ordoñez., et al. “Right Malignant Cerebral Infarct Following Mild Head Trauma in a Healthy Child. Case Report".Acta Scientific Neurology 3.6 (2020): 18-23.
Copyright: © 2020 Andrea Ortiz-Ordoñez., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.