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Childhood stroke after minor neck trauma: case report
1Department of Rehabilitation Medicine, University of Toronto, Canada.
Archives of Physical Medicine and Rehabilitation
|October 1, 1990
Summary
Minor neck trauma can rarely cause cerebral infarction (stroke) in children, affecting the vertebrobasilar artery. This case highlights potential recovery despite initial symptoms, with residual ataxia and hemiparesis.
Area of Science:
- Neurology
- Pediatric Neurology
- Vascular Neurology
Background:
- Cerebral infarction is uncommon following minor neck trauma in pediatric patients.
- Vertebrobasilar artery injuries are a rare but serious consequence of cervical trauma.
Observation:
- A case study of a child experiencing a stroke after minor neck trauma is presented.
- The patient sustained trauma to the vertebrobasilar artery, leading to cerebral infarction.
- Diagnostic imaging included computerized tomography (CT) scan and angiography.
Findings:
- The child experienced transient episodes of vertigo post-stroke.
- Despite the stroke, significant functional recovery was observed, including restoration of language and cognitive functions.
- Residual neurological impairments after 28 months included mild right-sided ataxia and hemiparesis.
Implications:
- This case underscores the importance of considering cervical artery dissection in pediatric patients presenting with stroke after minor neck trauma.
- Early recognition and management may contribute to favorable functional outcomes.
- Long-term monitoring is essential to track residual deficits and guide rehabilitation strategies.