Two and a Half Year Old Girl with Ischemic Stroke Due to Trauma (Lollipop Syndrome)

Trauma to the soft palate and retropharyngeal tissue is an uncommon event during childhood. Neurological complications may occur following by asymptomatic intra oral trauma. There is usually dilation in diagnosis of non-penetrating traumas until the time neurological complications appear. In blunt carotid traumas headache is the most common symptom. Other typical symptoms are unilateral neuralgic deficits as hemiplegia, aphasia, or visual loss. Neurological complications are mostly caused by thrombus formation in carotid artery. Early anticoagulation therapy and antiplatlate therapy are good non operative methods which can help cure trauma.
A 2.5 year-old child is presented here, with hemiplegia and aphasia following by a blunt trauma of pharynx, which is caused by a fall whilst carrying a pencil in her mouth. The injury was without bleeding and the neurological symptoms appeared after 17 hours.
Computed tomography of the brain revealed a big hypo dense area in Middle Carotid Artery (MCA). Antiplatlet was undertaken and good clinical results obtained.