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Abstract
:Infarction of the basal ganglia after minor head injury is a well described entity .’Mineralising angiopathy’ is a term to describe mineralisation along the lenticulostriate vessels that predisposes infants to stroke,even after trivial head injury.(1)The prognosis in these children is excellent.The supratentorial compartment is relatively mobile in comparision to the fixed infratentorial compartment offering greater shearing forces between the perforating vessels and the brain parenchyma following an acute trauma.(2)The acute angulation of the lenticulostriate perforators is further responsible for its propensity of the basal ganglia for the insult.(3) The current report is unique as it presents a young boy with hemorrhagic stroke in the basal ganglia after a trivial trauma and imaging findings suggestive of mineralising angiopathy
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References
- Lingappa L, Varma RD, Siddaiahgari S, Konanki R. Mineralizing angiopathy with infantile basal ganglia stroke after minor trauma. Dev Med Child Neurol. 2014;56:78–84
- Okuno T, Takao T, Ito M, Konishi Y, Mikawa H, Nakano Y. Infarction of the internal capsule in children. J Comput Assist Tomogr. 1980. 4: 770-4.
- Landi, A, Marotta, N, Mancarella C, Marruzzo D, Salvati M, Delfini R. Basal ganglia stroke due to mild head trauma in pediatric age - clinical and therapeutic management: a case report and 10 year literature review. Italian Journal of Pediatrics.2011 37, 2.
- Ishihara C, Sawada K, Tateno A. Bilateral basal ganglia infarction after mild head trauma. Pediatr Int 2009; 51:829–31.
- Teele RL, Hernanz-Schulman M, Sotrel A. Echogenic vasculature in the basal ganglia of neonates: a sonographic sign of vasculopathy. Radiology 1988; 169: 423–7.
- John HL,Stavros S,Dan W,Yanick J C.Intracranial calcification in childhood:a review of etiologies and recognizable phenotypes.Developmental Medicine and Child Neurology.2013;56;612-26.
- Chaw-Liang Chang . Clinical Significance of Lenticulostriate Vasculopathy. ARC Journal of Pediatrics Volume 2, Issue 1, 2016, PP 4-8 .
- Sobani ZA, Ali A. Pediatric traumatic putamenal strokes: Mechanisms and prognosis. Surg Neurol Int 28-Apr-2011;2:51.
- Goraya J S, Berry S, Saggar K, Ahluwalia A. (2018). Stroke After Minor Head Trauma in Infants and Young Children With Basal Ganglia Calcification: A Lenticulostriate Vasculopathy? Journal of Child Neurology, 33(2), 146–152
References
Lingappa L, Varma RD, Siddaiahgari S, Konanki R. Mineralizing angiopathy with infantile basal ganglia stroke after minor trauma. Dev Med Child Neurol. 2014;56:78–84
Okuno T, Takao T, Ito M, Konishi Y, Mikawa H, Nakano Y. Infarction of the internal capsule in children. J Comput Assist Tomogr. 1980. 4: 770-4.
Landi, A, Marotta, N, Mancarella C, Marruzzo D, Salvati M, Delfini R. Basal ganglia stroke due to mild head trauma in pediatric age - clinical and therapeutic management: a case report and 10 year literature review. Italian Journal of Pediatrics.2011 37, 2.
Ishihara C, Sawada K, Tateno A. Bilateral basal ganglia infarction after mild head trauma. Pediatr Int 2009; 51:829–31.
Teele RL, Hernanz-Schulman M, Sotrel A. Echogenic vasculature in the basal ganglia of neonates: a sonographic sign of vasculopathy. Radiology 1988; 169: 423–7.
John HL,Stavros S,Dan W,Yanick J C.Intracranial calcification in childhood:a review of etiologies and recognizable phenotypes.Developmental Medicine and Child Neurology.2013;56;612-26.
Chaw-Liang Chang . Clinical Significance of Lenticulostriate Vasculopathy. ARC Journal of Pediatrics Volume 2, Issue 1, 2016, PP 4-8 .
Sobani ZA, Ali A. Pediatric traumatic putamenal strokes: Mechanisms and prognosis. Surg Neurol Int 28-Apr-2011;2:51.
Goraya J S, Berry S, Saggar K, Ahluwalia A. (2018). Stroke After Minor Head Trauma in Infants and Young Children With Basal Ganglia Calcification: A Lenticulostriate Vasculopathy? Journal of Child Neurology, 33(2), 146–152