Childhood Basal Ganglia Stroke and its Association with Trivial Head Trauma

Jauhari, Prashant; Sankhyan, Naveen; Khandelwal, Niranjan; Singhi, Pratibha

doi:10.1177/0883073815620674

Cited by 19 publications

(24 citation statements)

References 11 publications

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“…Prashant Jauhari el al. hypothesized that transient vasospasm secondary to trauma-induced stretching of lenticulostriate vessels may have led to a more favourable outcome in these children 18 .…”

Section: Discussionmentioning

confidence: 99%

Childhood ischaemic stroke in the basal ganglia can lead to fine motor and anxiety disorders: a retrospective analysis and follow-up of 109 cases

Hong

et al. 2020

Preprint

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Backgroud:Stroke in children easily causes long-term dysfunction. Whether the prognoses of motor and anxiety disorders are related to the affected stroke area has not been reported. Methods: 109 cases of children with ischaemic stroke were reviewed and divided into three groups: lenticular nucleus lesions only (lenticular nucleus group), lenticular nucleus and caudate head lesions (caudate head group), and lenticular nucleus and thalamus lesions (thalamus group). Overall prognosis was evaluated by the mRS score. The SCAS-P was used to evaluate anxiety in children aged ≥6 years. Results: mRS scores were ≤2 points (mean: 0.62), no significant difference among groups. 3/21 (14.2%) patients in the caudate head group changed handedness, which is significantly higher than other groups. Patients with lesions in thalamus group had significantly higher SCAS-P scores. Conclusions: The overall prognosis of children with basal ganglia ischaemic stroke is good. However, hand preference changes and anxiety disorders may develop. Patients in the caudate head groups are more likely to suffer from fine motor disorders and changes in handedness. Patients within the thalamus group are more prone to anxiety than patients in the other groups. Anxiety disorders should be noted in children with basal ganglia stroke.

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Section: Discussionmentioning

confidence: 99%

Childhood ischaemic stroke in the basal ganglia can lead to fine motor and anxiety disorders: a retrospective analysis and follow-up of 109 cases

Hong

et al. 2020

Preprint

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“…Basal ganglia infarction in infants after mild head trauma has been reported in several case reports and case series over the last decades. [1][2][3][4][5][6][7] The pathogenesis of this phenomenon remains to be elucidated. It was Kaya et al 18 who reported first on four children (age 9 months-3.5 years) with basal ganglia infarction and basal ganglia calcification.…”

Section: Discussionmentioning

confidence: 99%

“…However, these authors did not mention an association with trauma, and the key aspect was a radiological message and not a clinical one. Jauhari et al 7 analyzed 48 children (median age 18 months) with basal ganglia stroke, and 26 of them had a history of trivial head trauma. Although all of the children underwent an initial CT scan, basal ganglia calcification was not seen in any of them.…”

Section: Discussionmentioning

confidence: 99%

Infantile Basal Ganglia Stroke after Mild Head Trauma Associated with Mineralizing Angiopathy of Lenticulostriate Arteries: An Under Recognized Entity

et al. 2018

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Basal ganglia infarction in young children, mostly after mild head trauma, has been repeatedly reported. The pathogenesis and the risk factors are not fully understood. Lenticulostriate vasculopathy, usually referred to as basal ganglia calcification, is discussed as one of them. We describe five young (7-13 months old on presentation) male children who suffered from hemiparesis due to ischemic stroke of the basal ganglia, four of them after minor head trauma. All of them had calcification in the basal ganglia visible on computed tomography or cranial ultrasound but not on magnetic resonance imaging. Follow-up care was remarkable for recurrent infarction in three patients. One patient had a second symptomatic stroke on the contralateral side, and two patients showed new asymptomatic infarctions in the contralateral basal ganglia on imaging. In view of the scant literature, this clinic-radiologic entity seems under recognized. We review the published cases and hypothesize that male sex and iron deficiency anemia are risk factors for basal ganglia stroke after minor trauma in the context of basal ganglia calcification in infants. We suggest to perform appropriate targeted neuroimaging in case of infantile basal ganglia stroke, and to consider prophylactic medical treatment, although its value in this context is not proven.

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“…However, in the Indian context, perinatal–neonatal event remains the predominant cause of intellectual disability, irrespective of endemicity for a large number of infections including T. solium . [ 15 ]…”

Section: Discussionmentioning

confidence: 99%

Cognitive and behavioral profile of treatment-naïve children aged 6–14 years with neurocysticercosis from North India

Verma

Chopra

Kaushik

et al. 2018

Ann Indian Acad Neurol

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Childhood Basal Ganglia Stroke and its Association with Trivial Head Trauma

Cited by 19 publications

References 11 publications

Childhood ischaemic stroke in the basal ganglia can lead to fine motor and anxiety disorders: a retrospective analysis and follow-up of 109 cases

Childhood ischaemic stroke in the basal ganglia can lead to fine motor and anxiety disorders: a retrospective analysis and follow-up of 109 cases

Infantile Basal Ganglia Stroke after Mild Head Trauma Associated with Mineralizing Angiopathy of Lenticulostriate Arteries: An Under Recognized Entity

Cognitive and behavioral profile of treatment-naïve children aged 6–14 years with neurocysticercosis from North India

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