Journal of Pediatric Neurology
DOI: 10.1055/s-0041-1722928
Case Report

Acute Ischemic Stroke in a 10-Month-Old Baby Recovered With Aspirin

Seyed A. Hosseini
1  Department of Pediatrics, Golestan University of Medical Sciences, Taleghani Hospital of Gorgan, Golestan, Iran
,
Mohammad H. Gharib
2  Department of Radiology, Golestan University of Medical Sciences, Taleghani Hospital of Gorgan, Golestan, Iran
,
3  Department of Medicine, Golestan University of Medical Sciences, Taleghani Hospital of Gorgan, Golestan, Iran
,
Bahar Ghanbarzade
4  Golestan University of Medical Sciences, Taleghani Hospital of Gorgan, Golestan, Iran
,
Parnian S. Hosseini
3  Department of Medicine, Golestan University of Medical Sciences, Taleghani Hospital of Gorgan, Golestan, Iran
› Author Affiliations
Funding None.

Abstract

Acute ischemic stroke is rare in children and often brings enduring and permanent morbidity in pediatric population. While there are numerous recommendations for initial treatment, evidence on effectiveness of different therapies among children is limited. Here, we describe a 10-month-old boy who presented with fever, restlessness, seizure and postictal left limb weakness. Examination revealed left hemiplegia and hemiparesthesia. Computed tomography (CT) head showed loss of gray–white matter distinction with diffuse hypodensity in the right temporoparietal lobes and right caudate nucleus. Magnetic resonance imaging (MRI) brain demonstrated diffusion restriction in favor of acute ischemic stroke in the right middle cerebral artery (MCA) territory. Brain MR angiography (MRA) demonstrated complete occlusion of proximal aspect of M1 segment of right MCA. Genetic testing determined a homozygous 4G/4G polymorphism of the PAI-1 gene. Antiplatelet therapy was started after diagnosis and continued for 8 days with antibiotic therapy. Stroke in children and infants is an infrequent condition associated with substantial morbidity and mortality that needs clinicians' care. This case highlights the significance of awareness about stroke in children and emphasizes on further research to compile evidence-based guidelines for acute stroke therapy in children.



Publication History

Received: 14 November 2020

Accepted: 21 December 2020

Publication Date:
17 February 2021 (online)

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