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CORRESPONDENCE
Year : 2017  |  Volume : 65  |  Issue : 2  |  Page : 439

Hyperdense lenticulostriate sign…or stroke following minor trauma


Department of Pediatrics, Karnataka Lingayat Education, University's Jawahar Lal Nehru Medical College, Belgaum, Karnataka, India

Date of Web Publication10-Mar-2017

Correspondence Address:
Mahesh Kamate
Department of Pediatrics, Karnataka Lingayat Education, University's Jawahar Lal Nehru Medical College, Belgaum- 590 010, Karnataka State
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/neuroindia.NI_923_16

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How to cite this article:
Kamate M. Hyperdense lenticulostriate sign…or stroke following minor trauma. Neurol India 2017;65:439

How to cite this URL:
Kamate M. Hyperdense lenticulostriate sign…or stroke following minor trauma. Neurol India [serial online] 2017 [cited 2017 Apr 28];65:439. Available from: http://www.neurologyindia.com/text.asp?2017/65/2/439/201876


Sir,

It was nice to read the article by L Elijovich and others, titled 'Hyperdense lenticulostriate artery sign.[1] The case reported is actually a case of 'Stroke following minor trauma' which is common in toddlers. What the authors have described in the image is actually the calcified lenticulostriate arteries. What I do not agree is the statement, 'this is the first report of a hyperdense lenticulostriate artery sign.' This sign has been nicely described previously and reported in a paper by Lingappa L et al., in 'Developmental Medicine and Child Neurology.'[2] They have described 22 toddlers in their paper and discussed the clinical presentation and the imaging features of this entity.

This entity has been described as 'Mineralising Angiopathy,' and we in India, see it very commonly. It is one of the most common causes of stroke following minor trauma in toddlers. Though the exact cause is not known, it is presumed to be due to be either genetic in origin or due to congenital infections like cytomegalovirus infection. Treatment with aspirin is usually not required and there is a high chance of recurrence if future minor trauma is not avoided [2]

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  References Top

1.
Elijovich L, Goyal N, Choudhri A. Hyperdense lenticulostriate artery sign. Neurol India. 2016;64:1091-2.  Back to cited text no. 1
    
2.
Lingappa L, Varma RD, Siddaiahgari S, Konanki R. Mineralizing angiopathy with infantile basal ganglia stroke after minor trauma. Dev Med Child Neurol. 2014;56:78-84.  Back to cited text no. 2
    




 

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