Abstract
A previously healthy 4-year-old boy presented to the emergency department with 2 days of headache, unsteady gait, and left hemiparesis. Emergent head computed tomography revealed a right-sided hypodensity concerning for ischemic stroke. Follow-up magnetic resonance imaging and magnetic resonance angiography revealed multiple acute ischemic foci in the right middle cerebral artery and posterior cerebral artery watershed territories, chronic appearing ischemic foci bilaterally, and bilateral carotid artery narrowing concerning for medium or large vessel vasculitis.
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