IMAGING FEATURES OF ARTERIAL ISCHEMIC STROKE IN A 13 YEAR OLD BOY - AN INTERESTING CASE REPORT

Dr. Karthik Krishna Ramakrishnan, Dr. Debashis Dakshit

Abstract


Childhood arterial ischemic stroke is a rare disease with an estimated incidence of 2-13/100000 per year 1,13. Variability in the clinical presentation, the inability of children to effectively communicate their symptoms, lack of early clinical suspicion and overlapping of symptoms with many other diseases gives  rise to delay in the diagnosis and delayed treatment. This leads to multiple long term co morbidity, disability and socioeconomic dependency with affected quality of life. The causes and risk factors of childhood ischemic stroke are manifold and inter related, differing greatly from that of adult ischemic stroke and needs a comprehensive diagnostic work up. The etiology should be accurately deduced since future recurrence rates depend on the etiology and so are the specific treatments with medical management like steroids for vasculitis or surgery or minimally invasive endovascular options for stenotic lesions.


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