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Post-traumatic cerebral infarction: a rare complication in a pediatric patient after mild head injury

Serkan Yılmaz1, Murat Pekdemir, Hasan Tahsin Sarısoy

  • 1Department of Emergency Medicine, Kocaeli University, Faculty of Medicine, Kocaeli, Turkey. mdserkan@hotmail.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|June 7, 2011
PubMed

Insights

Pediatric cerebral infarction following mild head trauma is rare but can cause significant disability. Prompt neurological evaluation is crucial for early diagnosis and intervention in children presenting with post-traumatic symptoms.

Area of Science:

  • Neurology
  • Pediatrics
  • Radiology

Background:

  • Post-traumatic cerebral infarction is an uncommon complication in pediatric patients.
  • Limited research exists on this specific neurological event in children.

Observation:

  • A 14-month-old child experienced cerebral infarction after a minor head injury.
  • Initial hospital visit did not include computed tomography (CT) scan, delaying diagnosis.
  • Neurological examination revealed right-sided sensory and motor deficits and left facial weakness.

Findings:

  • CT scan identified a hypodense region in the right basal ganglia, suggesting infarction.
  • Magnetic resonance imaging (MRI) confirmed ischemic changes in the right lentiform nucleus and caudate nucleus.
  • Cerebral infarction led to significant neurological deficits in the child.

Implications:

  • Highlights the importance of considering cerebral infarction in pediatric patients with head injuries, even if seemingly mild.
  • Emphasizes the necessity of thorough physical examinations and appropriate imaging (CT/MRI) in pediatric trauma cases.
  • Underscores the potential for long-term disability from post-traumatic ischemic stroke in children, necessitating timely medical attention.

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