Cerebral infarction after mild head trauma in children
Tóm tắt
We conducted this retrospective, case record review to determine the risk factors and clinical features associated with cerebral infarction after mild head trauma in children. The median age of the cohort was 2.18 years (range, 6 mo–8 y). Most (26/29) of the patients developed the neurological symptoms and signs within 72 hours after trauma, 51.7% within 30 minutes. The first symptoms included hemiparesis (20), facial paresis (7), and convulsion (7). 86.21% of the lesions lay in basal ganglia region. Pre-existing basal ganglia calcification was identified in 13 as a risk factor.
Tài liệu tham khảo
Mallick AA, O’Callaghan FJ. The epidemiology of childhood stroke. Eur J Paediatr Neurol. 2010;14:197–205.
Roach ES, Golomb MR, Adams R, Biller J, Daniels S, Deveber G, et al. Management of Stroke in Infants and Children: a Scientific Statement From a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young. Stroke. 2008; 39:2644–2691.
Dharker SR, Mittal RS, Bhargava N. Ischemic lesions in basal ganglia in children after minor head injury. Neurosurgery. 1993;33:863–865.
Muthukumar N. Basal ganglia-internal capsule low density lesions in children with mild head injury. Br J Neurosurg. 1996;10:391–393.
Kieslich M, Fiedler A, Heller C, Kreuz W, Jacobi G. Minor head injury as cause and co-factor in the aetiology of stroke in childhood: a report of eight cases. J Neurol Neurosurg Psychiatry. 2002;73:13–16.
Shaffer L, Rich PM, Pohl KR, Ganesan V. Can mild head injury cause ischemic stroke? Arch Dis Child. 2003;88:267–269.
Kirkham FJ, Hogan AM. Risk factors for arterial ischemic stroke in childhood. CNS Spectr. 2004;9:451–464.
Rana KS, Behera MK, Adhikari KM. Ischemic stroke following mild head injury: is it the cause? Indian Pediatr. 2006;43: 994–997.
Buompadre MC, Arroyo HA. Basal ganglia and internal capsule stroke in childhood — risk factors, neuroimaging, and outcome in a series of 28 patients: a tertiary hospital experience. J Child Neurol. 2009;24:685–691.
Kargl S, Parsaei B, Sekyra P, Wurm J, Pumberger W. Ischemic stroke after minor head trauma in children. Eur J Pediatr Surg. 2012;22,168–170.
Ruff RM, Iverson GL, Barth JT, Bush SS, Broshek DK. Mild traumatic brain injury committee of the head injury interdisciplinary special interest group of the American congress of rehabilitation medicine: definition of mild traumatic brain injury. J Head Trauma Rehabil.1993;8:86–87.
Fullerton HJ, Johnston SC, Smith WS. Arterial dissection and stroke in children. Neurology. 2001;57:1155–1160.
Verulashvili IV, Glonti LSh, Miminoshvili DK, Maniia MN, Mdivani KS. Basal ganglia calcification: clinical manifestations and diagnostic evaluation. Georgian Med News. 2006;140:39–43.
Förstl H, Krumm B, Eden S, Kohlmeyer K. Neurological disorders in 166 patients with basal ganglia calcification: a statistical evaluation. J Neurol. 1992;239:36–38.
Tedrus GM, Fonseca LC, Nogueira E Jr. Basal ganglia calcification on computed tomography: clinical characteristics in 25 patients. Arq Neuropsiquiatr. 2006;64:104–107.