The average incidence of childhood stroke of about 7.8 cases per 100 thousand people per year. Child stroke is considered heterogeneous in etiopathogenesis and clinical course , so the improvement of knowledge in the field of child stroke necessary to provide quality preventive and curative care.

Identify the frequency and structure of ischemic stroke in children , as well as the causes and clinical features and diagnosis of this pathology.

In the period from 2012 to 2013 were hospitalized and examined 34 children with a diagnosis of ischemic stroke in the Center of Pediatric emergency medicine Almaty.

In 32%(11) of children aged stroke to 1 year of life. Complaints on admission were: decreased motor activity in 26(76%) patients, weakness in 25(74%), headache in 14(41%), vomiting in 12(35%). 10(29.4%) patients underwent chickenpox , 9( 26.4%) diagnosed with a closed head injury in 14 patients (41.2%) hypertensive syndrome in 2(5.9%) had an insect bite with allergic reaction. In the neurological status: in 27(79.4%) patients with a clear conscience, 14(41.2%) small-swinging nystagmus, 6(17.7%) right-sided hemiparesis, 7(20.6%) left-sided hemiparesis, 8(23,5%) convulsions .All children performed CT scan of the brain: 65%(22) ischemic stroke diagnosed in the middle cerebral artery in 15(44.1%) patients diagnosed with calcifications in the basal ganglia.

Thus, the most critical period for children of ischemic stroke is up to 1 year of life. The most frequent localization in the middle cerebral artery. Cause of strokes for the region act received a closed head injury and transferred chickenpox.