title: Acute ischemic stroke in a child with cyanotic congenital heart disease due to non-compliance of anticoagulation.
abstract: BACKGROUND
  Stroke is a common presentation in geriatric patients in emergency department but rarely seen in pediatric patients. In case of acute ischemic stroke in pediatric age group, management is different from that of adult ischemic stroke where thrombolysis is a good op.
  
  
  METHODS
  We report a case of a 17-year-old male child presenting in emergency with an episode of acute ischemic stroke causing left hemiparesis with left facial weakness and asymmetry. The patient suffered from cyanotic congenital heart disease for which he had undergone Fontan operation previously. He had a history of missing his daily dose of warfarin for last 3 days prior to the stroke.
  
  
  RESULTS
  The patient recovered from acute ischemic stroke without being thrombolyzed.
  
  
  CONCLUSIONS
  In pediatric patients, acute ischemic stroke usually is evolving and may not require thrombolysis.
authors.affiliation: Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Misbahuddin
authors.initials: M
authors.lastname: Mohammad
authors.affiliation: Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Anish F
authors.initials: AF
authors.lastname: James
authors.affiliation: Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Raheel S
authors.initials: RS
authors.lastname: Qureshi
authors.affiliation: Department of Radiology, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Sapan
authors.initials: S
authors.lastname: Saraf
authors.affiliation: Department of Neurology, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Tina
authors.initials: T
authors.lastname: Ahluwalia
authors.affiliation: Department of Neurology, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Joy Dev
authors.initials: JD
authors.lastname: Mukherji
authors.affiliation: Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India.
authors.forename: Tamorish
authors.initials: T
authors.lastname: Kole
keywords: Acute ischemic stroke; Congenital heart disease; Fontan operation; Single ventricle; Thrombolytic; Warfarin