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Ischemic stroke complicating pediatric cardiovascular disease.
- Source :
-
Nature Clinical Practice Cardiovascular Medicine . Mar2007, Vol. 4 Issue 3, p163-166. 4p. 1 Diagram. - Publication Year :
- 2007
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CEREBRAL ischemia
*CEREBRAL edema
*CARDIOVASCULAR diseases
*PEDIATRIC cardiology
Subjects
Details
- Language :
- English
- ISSN :
- 17434297
- Volume :
- 4
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Nature Clinical Practice Cardiovascular Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 26695823
- Full Text :
- https://doi.org/10.1038/ncpcardio0825