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Pediatric traumatic putamenal strokes: Mechanisms and prognosis

Zain A Sobani1, Arshad Ali

  • 1Department of Neurosurgery, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan.

Surgical Neurology International
|June 24, 2011
PubMed

Insights

Traumatic putamenal strokes in children, often linked to closed head injuries, can present benignly. Conservative management and rehabilitation are recommended for these pediatric cases.

Area of Science:

  • Neurology
  • Pediatrics
  • Traumatology

Background:

  • Closed head injuries are associated with basal ganglia hemorrhages, particularly in pediatric patients.
  • Shearing forces are implicated, but pediatric-specific mechanisms for increased incidence remain unclear.
  • Angiographic findings suggest acute stretching of putamenal perforators in children may contribute.

Observation:

  • A series of five pediatric cases with traumatic putamenal strokes were analyzed.
  • The cases presented with relatively benign outcomes despite the nature of the injury.
  • Review included presentation, injury mechanism, neurological deficits, and management.

Findings:

  • Traumatic putamenal strokes can have benign presentations in children following head injuries.
  • Pediatric patients may exhibit unique biomechanical factors predisposing them to this injury.
  • Conservative management is a viable option for selected pediatric cases.

Implications:

  • Highlights the possibility of favorable outcomes in pediatric traumatic putamenal strokes.
  • Suggests a need for further research into pediatric-specific injury mechanisms.
  • Supports conservative management and rehabilitation for benign presentations in children.
Abstract

Keywords:
Pediatricscerebrovascular traumaclosed traumatic brain injuryputamenal hemorrhages

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