Hafif Kafa Travması Sonrası Bazal Ganglion İnternal Kapsülada (BGİK) İnme Gelişen İki Olgu

Abstract

Çocuklarda inme beyin tümörleri kadar sıktır ve çocukluk çağında ilk on ölüm nedeni arasındadır. Kafa travması geçiren çocuklarda, hemorojik inme, iskemik inmeye göre daha sık görülmektedir. Hafif kafa travması sonrası 2 yaş altı çocuklarda beynin anatomik özellikleri ve mekanik vazospazm gibi mekanizmalarla açıklanmaya çalışılan lentikülostriat inme sık bildirilmektedir. Aileler ve hekimler tarafından çoğunlukla önemsenmeyen hafif kafa travmaların her zaman masum olmadığını dikkat çekmek amacıyla acil servisimize ve nöroloji polikliniğimize kısa zaman aralıkları ile başvuran iki yaş altındaki 2 olguyu sunduk. Sunulan olgularda sonuç olarak iskemik inmenin travma sonrası geç klinik bulgu göstermesi ve/veya hafif klinik bulgularla başvurması nedeniyle 2 yaş altı çocuklarda iyi bir anamnez, dikkatli nörolojik muayenenin yanında mutlaka diffüzyon ağırlıklı MR görüntüleme tetkikleri ile ayrıntılı olarak değerlendirilmesi yargısına ulaştık.

Keywords

• İnme
• Travma
• Çocuk
• İskemi
• Lentikülostriat

Two Cases Developed Stroke in the Basal Ganglion Internal Capsule (BGIC) After Mild Head Trauma

Abstract

Strokes in children are as common as brain tumors and are among the top ten causes of death in childhood. Hemorrhagic stroke is more common in children with head trauma than ischemic stroke. Lenticulostriate stroke, which has tried to be explained by mechanisms such as anatomical features of the brain and mechanical vasospasm, is frequently reported in children under two years of age after mild head trauma. To draw attention to the fact that mild head injuries, which are often disregarded by families and physicians, are not always innocent, we discussed two cases under the age of two referred to our emergency department and neurology outpatient clinic in short time intervals.In conclusion, we determined that ischemic stroke tends to show late clinical findings after trauma and/or presents with mild clinical findings in children under 2 years of age. So approaching head trauma requires with a well-questioned anamnesis, careful neurological examination with diffusion-weighted MRI examinations.

Keywords

• stroke
• trauma
• child
• ischemia
• lenticulostriate

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