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Ischemic stroke complicating pediatric cardiovascular disease

Nature Clinical Practice Cardiovascular Medicine volume 4, pages 163–166 (2007)Cite this article

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.

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Figure 1: Evolution of ischemic stroke complicating cardiac catheterization in a boy with aortic hypoplasia

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Author information

Authors and Affiliations

  1. A Kirton is a Clinical Research Fellow of the American Academy of Neurology Foundation and Alberta Heritage Foundation for Medical Research, and a Pediatric Neurologist and Research Fellow in the SickKids Children's Stroke Program. G deVeber is Director of the SickKids Children's Stroke Program at the Hospital for Sick Children, and Associate Professor of Pediatrics, and Population Health Scientist at the University of Toronto, Toronto, ON, Canada.,

    Adam Kirton & Gabrielle deVeber

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  1. Adam Kirton
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  2. Gabrielle deVeber
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Correspondence to Adam Kirton.

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The authors declare no competing financial interests.

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Kirton, A., deVeber, G. Ischemic stroke complicating pediatric cardiovascular disease. Nat Rev Cardiol 4, 163–166 (2007). https://doi.org/10.1038/ncpcardio0825

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