Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 3 Issue 6

Right Malignant Cerebral Infarct Following Mild Head Trauma in a Healthy Child. Case Report

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

×

Abstract

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

×

References

  1. Ahn JY., et al. “Posttraumatic Infarction in the Territory Supplied by the Lateral Lenticulostriate Artery after Minor Head Injury”. Child’s Nervous System11 (2006):1493-1496.
  2. Matsumoto H., et al. “Posttraumatic Cerebral Infarction Due to Progressive Occlusion of the Internal Carotid Artery after Minor Head Injury in Childhood: A Case Report”. Child’s Nervous System7 (2011): 1169-1175.
  3. Seçkin H., et al. “Posttraumatic Infarction in the Basal Ganglia after a Minor Head Injury in a Child: Case Report”. Turkish Neurosurgery4 (2008): 415-419.
  4. Smith SE., et al. “Outcome Following Decompressive Craniectomy for Malignant Middle Cerebral Artery Infarction in Children”. Developmental Medicine and Child Neurology1 (2011): 29-33.
  5. Yang FH., et al. “Cerebral Infarction after Mild Head Trauma in Children”. Indian Pediatrics9 (2013): 875-878.
  6. Rana KS., et al. “Ischemic Stroke Following Mild Head Injury: Is It the Cause?” Indian Pediatrics11 (2006): 994-997.
  7. Ciccone S., et al. “Ischemic Stroke in Infants and Children: Practical Management in Emergency”. Stroke Research and Treatment (2011): 736965.
  8. Yilmaz S., et al. “Post-Traumatic Cerebral Infarction: A Rare Complication in a Pediatric Patient after Mild Head Injury”. Ulusal Travma ve Acil Cerrahi Dergisi2 (2011): 186-188.
  9. Shaffer L., et al. “Can mild head injury cause ischaemic stroke?” Archives of Disease in Childhood 88 (2003): 267-269.
  10. Yang FH., et al. “Clinical Features and Risk Factors of Cerebral Infarction after Mild Head trauma under 18 Months of Age”. Pediatric Neurology3 (2013): 220-226.
  11. Mastaglia FL. et al. “Intracranial thrombosis of the internal carotid artery after closed head injury”. Journal of Neurology, Neurosurgery, and Psychiatry5 (1969): 383-388.
  12. Tsze DS., et al. “Pediatric Stroke: A Review”. Emergency Medicine International (2011): 1-10.
  13. Okuno T., et al. “Infarction of the internal capsule in children”. Journal of Computer Assisted Tomography 4 (1980): 770-774.
  14. Mirvis SE., et al. “Posttraumatic Cerebral Infarction Diagnosed by CT: Prevalence, Origin and Outcome”. American Journal of Roentgenology6 (1990): 1293-1298.
  15. Ramaswamy V., et al. “Decompressive Hemicraniectomy in Children with Severe Ischemic Stroke and Life-Threatening Cerebral Edema”. Journal of Child Neurology8 (2008): 889-894.
  16. Shah S., et al. “Decompressive Hemicraniectomy in Pediatric Patients with Malignant Middle Cerebral Artery Infarction: Case Series and Review of the Literature”. World Neurosurgery1-2 (2013): 126-133.
  17. Nakashima S., et al. “Intracranial occlusion of the internal carotid artery after minor closed head injury”. No to Shinkei10 (2001): 975-978.
  18. Ajir F., et al “Post-traumatic occlusion of the supraclinoid internal carotid artery”. Neurosurgery 9 (1981): 173-176.
×

Citation

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.



Member In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2020.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US