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Trivial Neck Bite Resulting in a Stroke in an 18-Month-Old Child: A Case Report

Ruthwik Duvuru1, Ahmad Alawadhi1, Shivani Raju2

  • 1College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, ARE.

Cureus
|April 22, 2024
PubMed

Insights

A pediatric stroke case highlights that even minor head and neck trauma can cause serious neurological damage. Prompt imaging is crucial for diagnosing stroke in children presenting with stroke-like symptoms.

Area of Science:

  • Neurology
  • Pediatrics
  • Vascular Medicine

Background:

  • Stroke is typically associated with the elderly, but pediatric stroke is a critical consideration.
  • Minor head and neck trauma can be overlooked as a potential cause of stroke in children.

Observation:

  • An 18-month-old boy presented with left arm weakness and seizures following a trivial neck bite.
  • Brain imaging revealed a hypodense lesion in the right frontal, insular, and parietal regions.
  • Cervical-cerebral angiography showed occlusion of the right middle cerebral artery (MCA) M2 segment.

Findings:

  • The patient experienced an acute ischemic stroke in the right MCA territory.
  • The stroke was likely caused by emboli secondary to the neck trauma.
  • The case underscores the importance of considering stroke in pediatric patients with neurological deficits after trauma.

Implications:

  • Educates parents and medical professionals on the risks of neurological damage from seemingly minor head/neck trauma.
  • Emphasizes the necessity of prompt and appropriate imaging to rule out stroke in pediatric cases.
  • Highlights the importance of a high index of suspicion for pediatric stroke, regardless of age or perceived trauma severity.

Keywords:
clinical neuroscienceinpatient pediatricspediatric seizurepediatric strokevascular neurology

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