Ischemic Stroke in Confederation with Trivial Head Trauma

Area of Science:

• Pediatric Neurology
• Neuroscience
• Stroke Medicine

Background:

• Minor head injuries are common in children, typically resolving without complications.
• Head trauma more frequently leads to hemorrhagic stroke than ischemic stroke.
• Ischemic stroke following minor head trauma in pediatric patients is exceptionally rare.

Purpose of the Study:

• To report a unique case of ischemic stroke in an infant following a trivial head injury.
• To highlight the diagnostic and management considerations for pediatric stroke.
• To discuss potential etiological factors in post-traumatic pediatric stroke.

Main Methods:

• Case presentation of a 10-month-old female infant with right-sided hemiparesis and facial palsy post-trauma.
• Magnetic Resonance Imaging (MRI) of the brain to identify acute infarct in the left capsuloganglionic region.
• Conservative management initially, followed by anticoagulant therapy due to normal hematological parameters.

Main Results:

• The patient presented with acute ischemic stroke confirmed by MRI.
• Anticoagulant therapy initiated after initial conservative management.
• Significant clinical improvement observed within 12 hours, with complete resolution of weakness in 10 days.

Conclusions:

• Ischemic stroke can occur following even minor head trauma in children.
• Early diagnosis and prompt anticoagulant therapy can lead to favorable outcomes.
• The etiology remains unclear, suggesting potential contributions from genetic and environmental factors.