IPSO 2026 Congress Case Presentation – Dr. Victoria Lorah

At the IPSO 2026 Congress in Paris, France, Victoria Lorah, DO, Child Neurology Co-Chief Resident at Phoenix Children's, presented a complex pediatric stroke case involving a two-year-old with an acute right middle cerebral artery (MCA) ischemic stroke.

By
June 16, 2026
2 min

Phoenix Children's Medical Connection

Objective:

To present a complex pediatric stroke case involving a two-year-old with an acute right middle cerebral artery ischemic stroke.

Approach:

Case Presentation: Dr. Victoria Lorah presented a case of a two-year-old with an acute right MCA ischemic stroke at the IPSO 2026 Congress.
Imaging and Evaluation: Initial findings suggested an embolic etiology, but advanced imaging revealed both acute and chronic ischemic changes.
Diagnosis: Further workup identified significant intracranial arterial stenosis with an intimal flap, indicating arterial dissection.

Key Findings:

The case highlights the diagnostic challenges of pediatric stroke.
Arterial dissection is an uncommon presentation in this age group.
Comprehensive imaging and multidisciplinary care are critical.

Interpretation:

Despite extensive evaluation, the underlying cause of the stroke remained unclear.

Limitations:

The case underscores the complexity of diagnosing pediatric strokes.
Limited information on the underlying cause due to the rarity of the presentation.