Pure Motor Stroke Secondary to Cerebral Infarction of Recurrent Artery of Heubner after Mild Head Trauma: A Case Report

Ali Yilmaz; Zahir Kizilay; Ayca Ozkul; Bayram Ã‡irak

doi:10.3889/oamjms.2016.013

Authors

Ali Yilmaz Adnan Menderes University, Faculty of Medicine, Neurosurgery Department, Aydin
Zahir Kizilay Adnan Menderes University, Faculty of Medicine, Neurosurgery Department, Aydin
Ayca Ozkul Adnan Menders University, Faculty of Medicine, Department of Neurology, Aydin
Bayram Ã‡irak Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli

DOI:

https://doi.org/10.3889/oamjms.2016.013

Keywords:

childhood stroke, Heubner artery, post-traumatic stroke, head trauma

Abstract

BACKGROUND: The recurrent Heubner's artery is the distal part of the medial striate artery. Occlusion of the recurrent artery of Heubner, classically contralateral hemiparesis with fasciobrachiocrural predominance, is attributed to the occlusion of the recurrent artery of Heubner and is widely known as a stroke syndrome in adults. However, isolated occlusion of the deep perforating arteries following mild head trauma also occurs extremely rarely in childhood.

CASE REPORT: Here we report the case of an 11-year-old boy with pure motor stroke. The brain MRI showed an acute ischemia in the recurrent artery of Heubner supply area following mild head trauma. His fasciobrachial hemiparesis and dysarthria were thought to be secondary to the stretching of deep perforating arteries leading to occlusion of the recurrent artery of Heubner.

CONCLUSION: Post-traumatic pure motor ischemic stroke can be secondary to stretching of the deep perforating arteries especially in childhood.

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