Document Detail


Ischemic stroke complicating pediatric cardiovascular disease.
MedLine Citation:
PMID:  17330128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: After a year of unsuccessful treatment for hypertension, a young boy underwent a stenting procedure for aortic hypoplasia and awoke with hemiparesis and language deficits. INVESTIGATIONS: Neuroimaging, echocardiography, craniocervical vascular imaging and prothrombotic testing. DIAGNOSIS: Procedure-related acute arterial ischemic stroke and malignant cerebral edema with herniation. MANAGEMENT: Anticoagulation with heparin, seizure prophylaxis and neuroprotective care, including external cooling for hyperthermia. Medical management of increased intracranial pressure and hemicraniectomy at 48 h for malignant cerebral edema. Treatment of deep vein thrombosis with inferior vena cava filter was also required. Long term treatments included extensive rehabilitation, aspirin, antiepileptics, antidyskinetics, antidepressants, antihypertensives and cosmetic skull reconstruction.
Authors:
Adam Kirton; Gabrielle DeVeber
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nature clinical practice. Cardiovascular medicine     Volume:  4     ISSN:  1743-4300     ISO Abbreviation:  -     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-01     Completed Date:  2007-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101226507     Medline TA:  Nat Clin Pract Cardiovasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  163-6     Citation Subset:  IM    
Affiliation:
Children's Stroke Program, Division of Neurology, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada. adam.kirton@sickkids.ca
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants
Aorta, Thoracic / abnormalities*
Aortic Diseases / complications*,  congenital,  diagnosis
Brain Ischemia / diagnosis,  etiology*,  therapy
Child
Diagnosis, Differential
Heart Catheterization
Humans
Hypothermia, Induced
Magnetic Resonance Angiography
Male
Neuroprotective Agents / therapeutic use
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Neuroprotective Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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