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.