Pediatric Stroke: Neurological Sequelae in Uncorrected Tetralogy of Fallot
A 3-year-old male child was brought to the hospital with complaints of weakness of the left upper and lower limbs and one episode of generalized tonic-clonic seizures associated with up rolling of eyeballs and frothing from the mouth. Child was a diagnosed case of Tetralogy of Fallot following history of recurrent chest infections in infancy. He had two episodes of vomiting and five to six episodes of loose motions per day since 2 days. There was no history of surgical intervention (Informant – Mother). Lab investigations revealed PCV-46%, Hb-14.1 gm/dL, mean cell volume-61.33 cumm (80-90)-microcytic, TLC-13,400 cumm, and neutrophils – 74%.\nCT scan was performed on emergency basis [Figures -]. For further evaluation, MRI with magnetic resonance (MR) venography was also performed the next day [Figures -].