Fatal Unusual Ischemic Stroke Following Moderate Traumatic Brain Injury in a Young Child: A Case Report

Ischemic stroke occurs in a signicant subset of patients with blunt traumatic brain injury in pediatric age group. Increasing numbers of patients with ischemic stroke are being identied, largely due to the widening use of computed tomography angiography (CTA) for screening trauma patients. These patients are particularly difcult to manage because they often suffer from hemorrhagic stroke simultaneously. Presently, there is no consensus about optimal management. Because these patients are managed primarily by neurosurgeons, patients with ischemic stroke have been effectively hidden from view of pediatric intensivist and pediatric neurologists. We present a case of a boy who developed bilateral anterior cerebral artery infarct following traumatic brain injury. He presented with this fatal complication of traumatic brain injury in second week of illness. This case report is intended to bring this potentially fatal clinical entity to the attention of clinicians and investigators with specic expertise in pediatric neurology and stroke.