Purpose or Case Report: Background:
In pediatric patients presenting with neurological deficit in emergency department, special attention should be given to identify the conditions that can mimic a stroke to avoiding unnecessary interventions. There are various pathologies in pediatric populations that can mimic stroke both clinically and radiologically. Radiologists, by identifying specific imaging patterns of classical stroke and also patterns of those stroke mimics, shall aid clinician in deciding treatment options in a timely manner.

Objectives:
In this educational poster we aims at,
1) Discussing typical imaging patterns of ischemic stroke.
2) Discussing common pathologies in pediatric age group which can mimic ischimic stroke and pose challenge to the clinicians as well as radiologists.
3) Describing various imaging findings of those stroke mimics that help to differentiate from ischemic stroke.

We discuss the imaging patterns of following pediatric stroke mimics:
- Infective pathologies, including HSV encephalitis
- Demyelinating lesions.
- Vasculitis
- Migraine.
- Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS).
- Hypoxic ischemic encephalopathy.
- Moya Moya disease.
- Posterior reversible encephalopathy syndrome.
- Drug related pathologies.
- Miscellaneous conditions.

Conclusion:
Differentiation of commonly seen stroke mimics from ischemic stroke in a timely manner helps clinician for proper management and unnecessary interventions.
Methods & Materials:
Results:
Conclusions: