A Case Report on Acute Ischemic Stroke in Young Child

Acute ischemic stroke in the paediatric population is rare. If untreated it carries lasting and often lifelong morbidity. There are many strategies (like Thrombolysis and mechanical thrombectomy) for care in adults, yet there is very little evidence for these treatments in children. We present the case of an 18 months female child born out of non consanguineous parentage who was delivered by normal vaginal delivery without any perinatal complications. She was presented with complaints of sudden onset of weakness of left side of body of 12 hrs duration. Child was apparently normal until the symptoms started. Complete Stroke in young workup was done. Her MRA brain S/o Acute infarct in right corona radiata and posterior limb of internal capsule. Her hemogram showed Microcytic hypochromic anaemia (Hb 8.9gm) because she was presented out of window period and hence thrombolysis was deferred. Patient was managed conservatively with Ecosprin, Hematinics and Neuroprotective medications and with regular physiotherapy care.