Journal of Stroke and Cerebrovascular Diseases
Case ReportStroke in a Child Safely Treated with Intravenous Tissue Plasminogen Activator and Edaravone, a Free Radical Scavenger
Section snippets
Case Report
An 11-year-old, right-handed Japanese female was participating in an outdoor activity, went to the bathroom, and had a bowel movement. Thereafter, she felt discomfort in her head followed by posterior headache and dizziness. Her mother was aware that she had right hemiparesis and that she was unable to respond properly. An ambulance was called, and she presented to the emergency department of a secondary emergency hospital. Because the patient had experienced only a single episode of fibrile
Discussion
Symptoms of stroke mimic those of epilepsy and other neurologic disorders, and these disorders are much more frequent than stroke in children. Making the diagnosis of stroke in children within 3 hours from onset is a challenge. Early MRI findings greatly helped us to diagnose arterial ischemic stroke in the current case, and MRI should be performed immediately in such a case.
We assumed that the thalamic lesion caused diaschisis to the left hemisphere and partly affected the internal capsule. We
Acknowledgment
The authors thank Ms. Hisayo Saito and Mayumi Wakabayashi for preparation of this manuscript. We also thank Drs. Yuko Yokomizo and Toru Kurokawa for care in the rehabilitation hospital.
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