Abstract
Introduction: Stroke is characterized as a sudden onset of neurological deficit that results from a c erebrovascular event. Themost commonly identified causes of ischemic stroke in children are cerebral arteriopathies, congenital, or acquired cardiac diseases,sickle cell disease, and thrombophilias. In children, due to the low incidence and absence of specific methods to assessand measure correctly this entity, stroke recognition is usually delayed. Case Report: A 20 months-old girl was admitted to theemergency department presenting a history of two episodes of vomits, irritability, continuous crying, and strabismus that startedsuddenly. On neurological assessment, it was found divergent strabismus with right medial rectus muscle palsy and reduced rightpupillary reflex to light associated with instable gait. Brain magnetic resonance imaging (MRI) showed an ischemic lesion on theright pontomesencephalic region. The patient received clinical support. On the fifth day, she was discharged with a prescription ofaspirin, good clinical conditions, stable gait, and persistence of the divergent strabismus. Conclusion: Posterior circulation ischemicstroke is an important cause of morbidity and mortality on pediatric population and must be remembered to avoid diagnosisdelay.
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