AIS – sickle cell — RACP Paediatrics MCQ

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ModerateNeurologyAIS – sickle cellRACP Paediatrics

A 7-year-old with SCD presents with acute right hemiplegia and aphasia. CT shows left MCA infarct. What is the diagnosis?

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Correct answer: E — Arterial ischaemic stroke

AIS in SCD. 11% risk without prevention. Immediate exchange transfusion (HbS <30%), IV fluids. Chronic transfusion programme for secondary prevention.

Reference: RCH Melbourne – 2023 – Stroke CPG