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首页> 外文期刊>Italian journal of pediatrics >Basal ganglia stroke due to mild head trauma in pediatric age - clinical and therapeutic management: a case report and 10 year literature review
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Basal ganglia stroke due to mild head trauma in pediatric age - clinical and therapeutic management: a case report and 10 year literature review

机译：小儿年龄轻度头部外伤引起的基底节性中风-临床和治疗管理：一例病例和十年文献回顾

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摘要

Ischemia of the basal ganglia as an immediate consequence of minor head injury in children is rare (< 2% of all ischemic stroke in childhood) and is due to vasospasm of the lenticulostriate arteries. The clinical history of these lesions is particularly favourable because they are usually small, and also because the facial-brachial-crural hemiparesis typical of this pathology usually regresses after a period ranging from several weeks to several months, despite the persistence of an ischemic area on MRI. This is due to the well known neuronal plasticity of the CNS, in particular, of the primary motor cortex. The most effective therapeutic approach appears to be the conservative one, although the best treatment regimen is still not well defined. Young patients should be closely monitored and treated conservatively with osmotic diuretics to reduce perilesional edema. At the same time, however, it is very important to exclude, by means of instrumental and laboratory studies, conditions that could favour the onset of ischemia, including emboligen heart disease, thrombophilia and acute traumatic arterial dissections. Generally speaking, the prognosis in these cases is good. The authors describe their experience treating a 10-month old baby girl, with a left lenticular nucleus ischemia and report a literature review.
机译：小儿头部轻微损伤的直接结果是基底节缺血（在儿童时期不到所有缺血性中风的2％），并且是由于小齿状动脉的血管痉挛所致。这些病变的临床病史特别有利，因为它们通常很小，而且由于这种病理学典型的面部肱臂肌偏瘫通常在数周至数月不等的时间后消退，尽管持续存在缺血区域。核磁共振这是由于众所周知的中枢神经系统，特别是初级运动皮层的神经元可塑性。尽管最佳的治疗方案仍未明确，但最有效的治疗方法似乎是保守的方法。应密切监测年轻患者，并用渗透性利尿剂保守治疗以减少病灶周围水肿。但是，与此同时，通过仪器和实验室研究排除可能有利于缺血发作的疾病（包括栓塞性心脏病，血栓形成和急性创伤性动脉夹层）非常重要。一般来说，这些病例的预后良好。作者描述了他们治疗一个10个月大的女婴并伴有左晶状体核缺血的经历，并发表了文献综述。

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