Pediatric stroke: neurological sequelae in uncorrected tetralogy of fallot

S Bhatnagar1, S Naware1, R Kuber1

  • 1Department of Radio-diagnosis, Padmashree Dr. Dnyandeo Yashwantrao Patil Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.

Insights

Pediatric stroke is rare, with congenital heart disease being a common cause. This case highlights Tetralogy of Fallot as a risk factor in a child experiencing stroke symptoms.

Area of Science:

  • Neurology
  • Pediatrics
  • Cardiology

Background:

  • Pediatric stroke is an uncommon neurological event.
  • Congenital heart disease is a leading cause of stroke in children.
  • Other risk factors include sickle cell disease, infections, and prothrombotic conditions.

Observation:

  • A 3-year-old male with a history of Tetralogy of Fallot presented with neurological deficits.
  • The child exhibited left-sided weakness.
  • The patient also experienced a generalized tonic-clonic seizure.

Findings:

  • The case illustrates a link between Tetralogy of Fallot and pediatric stroke.
  • Congenital heart defects can predispose children to cerebrovascular events.
  • Prompt recognition of stroke symptoms in pediatric patients is crucial.

Implications:

  • Understanding risk factors like congenital heart disease is vital for preventing pediatric stroke.
  • Early diagnosis and management of pediatric stroke can improve outcomes.
  • This case emphasizes the importance of considering cardiac etiologies in pediatric stroke evaluations.

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