Background: Basal ganglia infarct as a consequence of minor head trauma is rare in children, however clinical history of such lesions is been favourable . Here we report a 5-year-old girl who presented with left side hemiparesis and sensory loss after a fall. Diffusion weighted magnetic resonance imaging showed an acute infarct in the right basal ganglia region. Genetic, metabolic, cardiac and haematological causes of stroke were ruled out.A conservative therapeutic approach of such cases is considered most effect up to date, although the best regimen is not defined yet.
Mild head trauma is an independent risk factor leading to ischemic stroke with unclear pathophysiology. Presence of genetic, metabolic and haematological causes must be excluded. In the following report we discuss the incidence, risk factors and possible mechanisms leading to such cases.