Article Menu

Export Article

More by Authors Links

Article Data

  • Views 1881
  • Dowloads 185

Case Report

Open Access

Pediatric ischemic stroke – an unlikely diagnosis: a report of three cases

  • DOVYDAS BURKOJUS1
  • VAIDOTAS GURSKIS2
  • MILDA ENDZINIENĖ1
  • JŪRATĖ LAURYNAITIENĖ1
  • TOMAS KONDRATAS1

1Neurology Department, Lithuanian University of Health Sciences and Hospital of Lithuanian University of Health Sciences Kauno klinikos, Kaunas, Lithuania

2 Department of Pediatrics, Lithuanian University of Health Sciences and Hospital of Lithuanian University of Health Sciences Kauno klinikos, Kaunas, Lithuania

DOI: 10.22514/SV152.092019.12 Vol.15,Issue 2,September 2019 pp.70-72

Published: 20 September 2019

*Corresponding Author(s): DOVYDAS BURKOJUS E-mail: dovydas.burkojus@gmail.com

PDF (718.38 kB) View Full-text

Abstract

Pediatric ischemic stroke is a rare and devastating disease. A patient presenting with acute neurological deficit should raise suspicion of a possible stroke. However, stroke “mimics” account for a majority of suspected stroke cases in childhood. We present three cases of pediatric acute is-chemic stroke, two of which are arterial, and one caused by thrombosis of venous sinuses. In the first case, we present a 16-year old male patient was admitted to our hospital due to a rare Artery of Percheron occlusion. The second case represents a 17-year old female patient with thrombosis of multiple cerebral venous sinuses, venous infarctions and secondary hemorrhages. As the third case, we present 6-year old male patient with a herpes simplex infec-tion and a vertebrobasilar stroke. All three patients had experienced an altered mental status and other nonspecific symptoms. Due to its rarity, diverse clinical presenta-tion, and lack of randomized control trials regarding treatment, ischemic stroke poses a great challenge to pediatricians.

Keywords

Pediatric ischemic stroke, stroke, acute ischemic stroke, thrombosis

Cite and Share

DOVYDAS BURKOJUS,VAIDOTAS GURSKIS,MILDA ENDZINIENĖ,JŪRATĖ LAURYNAITIENĖ,TOMAS KONDRATAS. Pediatric ischemic stroke – an unlikely diagnosis: a report of three cases. Signa Vitae. 2019. 15(2);70-72.

URL:

https://www.signavitae.com/articles/10.22514/SV152.092019.12

References

1. DeLaroche AM, Sivaswamy L, Farooqui A, Kannikeswaran N. Pediatric stroke and Its mimics: limitations of a pediatric stroke clini-cal pathway. Pediatr Neurol 2018; 80: 35-41.

2. Mallick AA, Ganesan V, Kirkham FJ, Fallon P, Hedderly T, McShane T et al. Childhood arterial ischaemic stroke incidence, present-ing features, and risk factors: a prospective population-based study. Lancet Neurol 2014; 13: 35-43.

3. deVeber GA, Kirton A, Booth FA, Yager JY, Wirrell EC, Wood E et al. Epidemiology and outcomes of arterial ischemic stroke in children: the Canadian pediatric ischemic stroke registry. Pediatr Neurol 2017; 69: 58-70.

4. Grunt S, Wingeier K, Wehrli E, Boltshauser E, Capone A, Fluss J et al. Cerebral sinus venous thrombosis in Swiss children. Dev Med Child Neurol 2010; 52; 12: 1145–50.

5. Guideline development group, Royal College of Paediatrics and Child Health (2017). Stroke in Childhood: clinical guideline for diagnosis, management and rehabilitation. London (United Kingdom): Royal College of Paediatrics and Child Health.

6. Ichord RN, Benedict SL, Chan AK, Kirkham FJ, Nowak-Göttl U; International Paediatric Stroke Study Group. Paediatric cerebral sinovenous thrombosis: findings of the International Paediatric Stroke Study. Arch Dis Child 2015; 100; 2: 1-6.

7. Lazzaro NA, Wright B, Castillo M, Fischbein NJ, Glastonbury CM, Hildenbrand PG et al. Artery of Percheron infarction: imaging patterns and clinical spectrum. AJNR Am J Neuroradiol 2010; 31; 7: 1283-9.

8. Franchini M, Lippi G, Manzato F, Vescovi PP, Targher G. Hemostatic abnormalities in endocrine and metabolic disorders. Eur J Endocrinol 2010; 162; 3: 439–51.

9. Zuurbier SM, Hiltunen S, Tatlisumak T, Peters GM, Silvis SM, Haapaniemi E et al. Admission hyperglycemia and clinical outcome in cerebral venous thrombosis. Stroke 2016; 47; 2: 390-6.

10. Elkind MS, Hills NK1, Glaser CA, Lo WD, Amlie-Lefond C, Dlamini N et al. Herpesvirus infections and childhood arterial ischemic stroke: results of the VIPS study. Circulation 2016; 133; 8:732-41.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top