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Paediatric Stroke: A Rare Presentation of Iron Deficiency Anemia in a Four Year Old Child
K Subedi1, S Koirala1, R Basnet1
1Department of Paediatrics, Kathmandu Medical College, Sinamangal Kathmandu, Nepal.
Insights
Pediatric stroke, though rare, is often diagnosed late in children due to subtle symptoms. This case highlights a rare pediatric ischemic stroke caused by severe iron deficiency anemia.
Area of Science:
- Neurology
- Pediatrics
- Hematology
Background:
- Paediatric stroke is an uncommon neurological condition with low incidence rates.
- Diagnosis in children is often delayed due to nonspecific clinical presentations and physician unawareness.
Observation:
- A four-year-old child from Nepal presented with a four-month history of altered consciousness and right-sided limb weakness.
- The delayed presentation was attributed to the remote location and lack of timely medical attention.
Findings:
- Investigations revealed the child suffered an ischemic stroke.
- The underlying cause was identified as severe iron deficiency anemia.
Implications:
- This case underscores the importance of considering iron deficiency anemia as a potential cause of ischemic stroke in children.
- Highlights the need for increased physician awareness and timely diagnosis of pediatric stroke, especially in resource-limited settings.
Abstract:
Paediatric stroke is an uncommon syndrome with even lesser annual incidence rates of arterial ischemic stroke in infants and children. In children the diagnosis of stroke is frequently delayed or missed. This is due to subtle and nonspecific clinical presentations, a complicated differential diagnosis and a lack of awareness by physicians and also delay in the seeking of medical attention as in our case. We report you a rare case of a four year old child from remote Nepal who presented to our Out Patient Department after a long gap of around four months after the sudden onset of loss of consciousness and decreased movement of right limbs who after detailed history examination and lab investigations and imaging revealed ischemic stroke due to iron deficiency anemia.
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