Author(s)

Abdoul Karim Doumbia^1*, Oumar Coulibaly¹, Hawa Gouro Diall¹, Guediouma Dembélé², Agaly Hamadassaliha³, Fatou S. Mangara¹, Pierre Togo¹, Adama Dembélé¹, Belco Maiga¹, Karamoko Sacko¹, Abdoul Aziz Diakité¹, Boubacar Togo¹

¹Department of Pediatrics of the University Hospital Gabriel Touré, Bamako, Mali.
²Department of Pediatrics, Mali Hospital, Bamako, Mali.
³Department of Neurosurgery of the University Hospital Gabriel Touré, Bamako, Mali.

Stroke is a rare but serious condition with high mortality and morbidity. We report the case of a 10-year-old child with no known pathological history who was transferred to the pediatric department for hemorrhagic stroke. He had been hospitalized 6 days earlier in a peripheral center for a tonic-clonic seizure accompanied by loss of consciousness and fever. Clinical examination revealed meningeal syndrome, facial paralysis, right hemiparesis, ataxia with disturbed balance, aphasia, and a peripapillary hemorrhage on the fundus. A cerebral computed tomography (CT) scan showed a hemorrhagic stroke with ventricular flooding. A lumbar puncture was performed and a hematic cerebrospinal fluid (CSF) with 12 leukocytes and 8000 red blood cells was obtained. The evolution was marked by the extinction of the infectious and meningeal syndromes, the regression of the pyramidal syndrome and the persistence of the dysarthria justifying a neuropsychological and speech therapy follow-up. Several challenges (diagnostic, therapeutic) exist in the management of children with stroke. Prospective studies with a larger sample are needed to fill the observed gaps.

Hemorrhagic Stroke, Pediatrics, Intracerebral Hemorrhage, Subarachnoid Hemorrhage, Malaria, Mali

Doumbia, A.K., Coulibaly, O., Diall, H.G., Dembélé, G., Hamadassaliha, A., Mangara, F.S., Togo, P., Dembélé, A., Maiga, B., Sacko, K., Diakité, A.A. and Togo, B. (2021) Hemorrhagic Stroke: About a Pediatric Case. Open Journal of Pediatrics, 11, 804-809. https://doi.org/10.4236/ojped.2021.114075