Document Detail

Acute cerebrovascular accident in an 18-year-old male with von Willebrand disease.
MedLine Citation:
PMID:  24851466     Owner:  NLM     Status:  In-Process    
Compared to the older populations, stroke is an infrequent occurrence in children, adolescents, and young adults. Furthermore, individuals who have hypocoagulability disorders, such as von Willebrand disease (vWD), appear to possess a degree of protection against thrombotic events. Here, we describe an 18-year-old male with a history of vWD who presented to the emergency department with left sided hemiparesis that occurred shortly after being placed in a headlock while wrestling. MRI revealed a right paramedian pontine stroke. The relationship between vWD and stroke is discussed as well as the role of neck trauma in vertebral artery injury. While vWD does appear to decrease the incidence of thrombotic events, such patients are still at risk, especially in the context of common inciting events such as neck trauma.
Andrew Novick; Sean McGrann; Randall Lamfers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South Dakota medicine : the journal of the South Dakota State Medical Association     Volume:  67     ISSN:  0038-3317     ISO Abbreviation:  S D Med     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-05-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101265265     Medline TA:  S D Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191, 193, 195     Citation Subset:  IM    
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