CC BY-NC-ND 4.0 · IJNS 2019; 08(01): 061-063
DOI: 10.1055/s-0038-1668468
Case Report
Neurological Surgeons' Society of India

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

Tarun Varshney
1  Department of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, India
,
Vinod Sharma
1  Department of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, India
,
Achal Sharma
1  Department of Neurosurgery, SMS Medical College and Hospitals, Jaipur, Rajasthan, India
› Author Affiliations
Further Information

Publication History

Received: 07 July 2018

Accepted after revision: 09 July 2018

Publication Date:
27 March 2019 (online)

  

Abstract

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.