Childhood posterior circulation arterial ischemic stroke – An unusual case with a possible COVID-19-related arteriopathy

Viral infections are known to increase predilection stroke and coronavirus disease 2019 (COVID-19) has proven these concerns true. We presenting the case of a 6-year-old previously normal male child diagnosed with posterior circulation who had all etiological workups negative except for COVID antibody. Imaging showed thrombi over V3 segment vertebral artery at C1–C2 level causing near complete occlusion, embolic infarct in bilateral inferior cerebellar artery, cerebral anterior left superior artery. The was managed methylprednisolone, anticoagulation, supportive care able restore near-normal neurological status within months. This is unique terms involvement which rare pediatric population. A possibility inflammation-related arteriopathy secondary infection should be considered workup stroke. Anti-inflammatory measures control cytokine storm along will ensure good outcome.