Mineralizing angiopathy of lenticulo-striate arteries resulting in basal ganglia infarct – A rare case report

Arterial ischemic stroke following minor head trauma in young children is not an unknown entity. Here is an 18-month-old male child who presented with complaints of 3–4 episodes of convulsions in the form of uprolling of eyes and posturing of the left upper limb and lower limbs and sudden-onset of left-sided hemiparesis since 4 days following minor head trauma. The child was hemodynamically stable but there was hypertonia, power of <3/5 and brisk deep tendon reflexes in the left upper and lower limbs with normal findings in the opposite side. Cranial nerves, sensory and cerebellar systems were not involved. Computed tomography brain was done which showed mineralization of lenticulostriate arteries (MALS) and infarct in basal ganglia. The child was started on aspirin at 3 mg/kg/day along with physiotherapy and he showed significant improvement.