Intracerebral haemorrhage in a child with isolated levocardia, transposition of great arteries and common atrium. Rare Case Report

Background: Pediatric hemorrhagic stroke is rare and frequently associated with vascular lesions. Children with congenital heart diseases commonly present with ischemic stroke and rarely presenting with hemorrhagic stroke. Case presentation: We present a 9 years old girl with one day history of right sided weakness (hemiplegia) preceded by headache for two days. Radiological investigations were helpful in confirming left cerebral haemorrhage, transposition of great arteries, common atrium and situs inversus with levocardia in this patient. Laboratory investigations indicated high haemoglobin level and high red blood cell counts. We report a rare case of intracerebral haemorrhagic stroke in a child with multiple congenital malformations Conclusion: We concluded that high haemoglobin and red blood cell counts due to the recurrent hypoxia from deoxygenated blood and strenuous activities can occasionally cause spontaneous bleeding in visceral organs including the brain.