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Case Report

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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

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

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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.

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