Mineralizing Angiopathy as a Rare Etiology of Pediatric Stroke: Report of Three Cases.
Alberto M Cappellari, Federica Teutonico, Nicola Tovaglieri et al.
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Case in brief
Three infants aged 14 to 38 months presented with basal ganglia infarction following minor head trauma. Neuroimaging revealed lenticulostriate calcifications, confirming a diagnosis of mineralizing angiopathy. All patients were treated with acetylsalicylic acid, and during follow-up, none experienced recurrent strokes. Neurological outcomes were generally favorable, though one child exhibited persistent language delay.
Diagnostic / clinical pearl
Mineralizing angiopathy should be considered in young children with basal ganglia infarction after minor head trauma, especially when lenticulostriate calcifications are present on imaging.
Why it matters
Recognizing the neuroimaging features of mineralizing angiopathy can prevent unnecessary investigations and facilitate timely diagnosis in pediatric patients.