Abstract
Ischemic stroke of basal ganglia after head trauma is rare in children younger than
18 months and accounts for less than 2% of all ischemic strokes in childhood. The
clinical history of these lesions is particularly favorable because they are usually
small and facial-brachial-crural hemiparesis is typical of this pathology that regresses
over a period of time. The most effective therapeutic approach appears to be a conservative
one, although the best treatment regimen is still not well defined. It is necessary
to exclude conditions such as heart disease, coagulopathies, and acute traumatic arterial
dissections. The authors present a rare case of bilateral basal ganglia infarct in
an 18-month-old child following head trauma managed conservatively with good recovery.
Keywords
head trauma - basal ganglia - infarct