Ischemic Stroke Following Multiple Traumas in a Child: A Case Report

兒童的腦中風並不常見，而多重器官創傷後合併缺血性腦中風的病例更是少見。早期的診斷常因神經學症狀被嚴重外傷及意識障礙掩蓋而變得不容易，但適時的處置可以減少殘留的長期性後遺症。我們報告一位由高樓墜下的十二歲男童，發生包括了氣血胸、脾臟破裂及多處骨折，並續發右後大腦動脈梗塞。病人經過急性期治療及復健之後恢復良好。我們探討了諸多可能的致病機轉，並檢討早期診斷可以再加強的一些地方。適時的診斷及病因的追查雖困難，卻有其必要性，因為殘留的神經學缺陷常會對孩童的日後發展有不良之影響。

關鍵字

腦中風；多重創傷；兒童

並列摘要

Stroke is an uncommon disorder in children but an increasingly recognized cause of disability. Acute stroke may be attributable to trauma, but this topic is seldom discussed. In limited reports, most ischemic strokes following trauma were detected after a considerable delay. Early recognition of stroke following trauma might reduce secondary neurologic complications. We report a case of posterior cerebral artery area infarct following multiple traumas in a child. A comprehensive etiologic survey was undertaken and discussed. Although the definite pathogenesis is still unclear, adequate, individualized, and uncomplicated management can significantly affect the outcome.

並列關鍵字

stroke ； children ； trauma ； multiple traumas

國際替代計量

Ischemic Stroke Following Multiple Traumas in a Child: A Case Report

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