Background and aims: arterial ischemic stroke is a uncommon but severe cause of pediatric disability. Our aim is evaluates prognosis and evolution in patients was  diagnosed with arterial ischemic stroke between 1 month and 18 years on San Borja Arriarán Hospital in Santiago, Chile.

Methods: study design was descriptive-retrospective toward search on clinical records from 1989 to 2012.

Results: were included a number of 64 patients with arterial ischemic stroke between 1 month and 14 years. 55/64 patients was a single episode and 9/64 had recurrence of the event. 3 patient no had sequels. Of the 61 patients with sequels, 65 % (40/61) evolutionate with hemiparesis, 4/61 with tetraparesis and 1/61 diparesis. 6 patients had extrapyramidal symptoms and 4 with cerebellum symptoms. Epilepsy was evident in 23/61 patients, while 17 patients presented cognitive impairment in different grades.

Conclusions: is evident the high degree of sequels in our population, moistly in the motor área. The mortality was low than internationals reports. Is necesary to find new methods to prevent or amilorates the impairment of the childrens affected with the disease.