TITLE:
Hemorrhagic Stroke: About a Pediatric Case
AUTHORS:
Abdoul Karim Doumbia, Oumar Coulibaly, Hawa Gouro Diall, Guediouma Dembélé, Agaly Hamadassaliha, Fatou S. Mangara, Pierre Togo, Adama Dembélé, Belco Maiga, Karamoko Sacko, Abdoul Aziz Diakité, Boubacar Togo
KEYWORDS:
Hemorrhagic Stroke, Pediatrics, Intracerebral Hemorrhage, Subarachnoid Hemorrhage, Malaria, Mali
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.11 No.4,
December
22,
2021
ABSTRACT: 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.