FATAL UNUSUAL ISCHEMIC STROKE FOLLOWING MODERATE TRAUMATIC BRAIN INJURY IN A YOUNG CHILD: A CASE REPORT

S. K. Saini, A. Saini, Seema Kumari
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Abstract

Ischemic stroke occurs in a signicant subset of patients with blunt traumatic brain injury in pediatric age group. Increasing numbers of patients with ischemic stroke are being identied, largely due to the widening use of computed tomography angiography (CTA) for screening trauma patients. These patients are particularly difcult to manage because they often suffer from hemorrhagic stroke simultaneously. Presently, there is no consensus about optimal management. Because these patients are managed primarily by neurosurgeons, patients with ischemic stroke have been effectively hidden from view of pediatric intensivist and pediatric neurologists. We present a case of a boy who developed bilateral anterior cerebral artery infarct following traumatic brain injury. He presented with this fatal complication of traumatic brain injury in second week of illness. This case report is intended to bring this potentially fatal clinical entity to the attention of clinicians and investigators with specic expertise in pediatric neurology and stroke.
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幼儿中度脑外伤后致命的异常缺血性中风:病例报告
在儿科钝性脑外伤患者中,缺血性脑卒中的发生率很cant。越来越多的缺血性中风患者被发现,这主要得益于计算机断层扫描血管造影术(CTA)在创伤患者筛查中的广泛应用。由于这些患者往往同时患有出血性中风,因此处理起来尤其。目前,对最佳治疗方法尚未达成共识。由于这些患者主要由神经外科医生管理,因此缺血性中风患者一直被儿科重症监护医生和儿科神经科医生所忽视。我们介绍了一例因脑外伤导致双侧大脑前动脉梗死的男孩。他在发病第二周就出现了这种致命的脑外伤并发症。本病例报告旨在提请临床医生和儿科神经病学与中风专业研究人员注意这一潜在的致命性临床实体c。
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