Stroke in a Six Month Old Infant with Multiple Intracerebral Infarcts: A Case Report

Abstract

The World Health Organization (WHO) defines stroke as a clinical syndrome of rapidly developing focal or global disturbance of brain function lasting more than 24 hours or leading to death with no obvious nonvascular cause. This is a six month old infant that was referred for a contrast enhanced computed tomography (CECT) of the brain on account of occasional vomiting, lethargy, poor suckling, weakness, poor developmental milestones since birth. The CECT showed a J-shaped sella, gnatopathy, multiple non-enhancing cerebrospinal density spaces; chronic infarcts, prominence of the lateral ventricles, poor white-grey matter interphase and a cleft palate. The parents of the patient were advised to seek referral for a multidisciplinary form of clinical management in a tertiary institution for better quality of life of the patient. We report the radiographic features of stroke in the pediatric age group due to its rare nature.