Conclusion and
Results
The diagnosis of the 3-month-old male infant was cerebellar infarction
associated with congenital vascular anomalies, including hypoplasia of
the right anterior cerebral artery (A1 segment) and attenuated right
vertebral artery. Follow-up recommendations include regular neurological
assessments to monitor for potential developmental delays or recurrent
seizures. Periodic neuroimaging may be considered to evaluate vascular
changes or further ischemic events. Nutritional supplementation should
continue to address identified deficiencies, particularly Vitamin D,
while maintaining a balanced diet to support overall health. Genetic
counseling and testing are advised to explore hereditary
predispositions, especially given the family history of consanguinity
and seizures. Additionally, long-term coordination with a
multidisciplinary team, including pediatric neurologists and
developmental specialists, is essential to optimize the child’s
neurodevelopmental outcomes.
This case highlights the diagnostic challenges posed by cerebellar
infarction in infants, particularly when presenting as status
epilepticus. Early recognition of structural causes through neuroimaging
is crucial for appropriate management. Genetic counseling and testing
should be considered in cases with consanguinity or a family history of
neurological conditions, as such factors may indicate an underlying
predisposition. The importance of addressing nutritional deficiencies
and systemic inflammation in the overall management of such cases cannot
be overstated. Despite financial and resource limitations, a
multidisciplinary approach enabled a favorable outcome in this patient.