 1. Prior overt stroke a focal neurological deficit of acute onset by history, focal neurological deficit on standardized neurological examination, or concern for moderate or severe neurological deficit which could be due to stroke based on a positive 10 questions screening an established tool in resource poor countries.1,2 A positive screening is defined as answering yes to any one of the 10 questions. The negative predictive value child does not have moderate or several neurological impairment of the 10 questions is greater than 94 in children;1 