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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Vehicle-associated closed trauma-induced stroke in a 27-day-old girl

Department of Neurology and Neurorehabilitation, Children’s Clinic, Tartu University Hospital
Department of Pediatrics, Tartu University
Children’s Clinic, Tartu University Hospital
Radiology Clinic, Tartu University Hospital, Estonia
Author to whom correspondence should be addressed.
Medicina 2010, 46(9), 624;
Received: 14 January 2010 / Accepted: 6 September 2010 / Published: 11 September 2010
Birth trauma, but not postnatal trauma, has been recognized as a cause of cerebral infarction in newborns. We report a case of cerebral infarction in a 27-day-old girl after a car accident. During the car accident, the child was properly restrained to the child’s safety seat. The patient was admitted to the hospital for observation because of pronounced irritability. There were no focal neurological symptoms on admission. Twenty-eight hours after the accident, the child developed focal tonic-clonic seizures and mild right-sided hemiparesis. The seizures were successfully treated with phenobarbital at a dose of 30 mg per day. Computed tomography and magnetic resonance imagining performed on the second and third days after the accident, respectively, showed subdural hemorrhage in the occipital regions and cerebral ischemia in the left parieto-occipital region. Control imaging 10 days later showed signs of reperfusion. Persistent child irritability after head trauma is one of the indicating factors for performing an emergency computed tomography scan of the head.
Keywords: perinatal stroke; traumatic stroke perinatal stroke; traumatic stroke
MDPI and ACS Style

Talvik, I.; Peet, A.; Laugesaar, R.; Lintrop, M.; Talvik, T. Vehicle-associated closed trauma-induced stroke in a 27-day-old girl. Medicina 2010, 46, 624.

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