Focal cerebral arteriopathy (FCA) is an acquired unilateral arteriopathy, which is characterized by damage to the junction of the distal portion of the internal carotid artery, as well as the proximal sections of the middle and anterior cerebral arteries. FCA is the most common cause of ischemic stroke in children. According to most authors, the leading role in its development is given to the infectious factor. The article presents the clinical observation of cerebral infarction in a child due to FCA. An atypical beginning for childhood with transient monocular blindness, Amaurosis fugax, is described. Attention is also drawn to the possible role of streptococcal infection in the development of arteriopathy in the presented case, two weeks before the development of cerebral infarction, the child had rheumatic chorea in the form of unilateral choreiform hyperkinesis, the absence of ischemic changes according to neuroimaging, a high titer of antistreptolysin, and positive dynamics from the use of antibacterial and corticosteroid therapy.
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