Acute pediatric stroke—what’s the hurry? A case for emergency physician-performed echocardiography

Thom, Christopher; Sparks, Scott E.

doi:10.1016/j.ajem.2014.04.023

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…It seems to be important to find early diagnostic clue and immediately follow echocardiography for definite diagnosis. It is also recommended bedside echocardiography routinely to avoid delayed diagnosis in young stroke patients [13,17]. The estimated incidence of myxomarelated stroke ranged from 10 to 30 % of patients [7,9].…”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy in cardiac myxoma stroke: a case report and review of the literature

et al. 2016

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Cardiac myxoma is the most common primary tumor of the heart. It is a rare cause of acute ischemic stroke and commonly not detected until after the stroke. There is no current guideline for the treatment of cardiac myxoma stroke and only a few cases of mechanical thrombectomy have been reported. We present a case of cardiac myxoma stroke in a 4-year-old boy treated with a stent-retrieval device and review the literature describing the safety and efficacy of mechanical thrombectomy in cardiac myxoma stroke. We also describe imaging features of the myxoma clot on susceptibility weighted images.

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Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy in cardiac myxoma stroke: a case report and review of the literature

et al. 2016

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“…6 The differential diagnosis and evaluation of acute stroke in the pediatric population should be based on the understanding that the probability of a non-atherosclerotic etiology is much higher than the adult population. 7 Thus, it is prudent to be aware of the broad and appropriate differential diagnoses for pediatric patients who present with acute ischemic stroke. 7 Transthoracic echocardiography (TTE) remains an indispensable tool for the diagnosis of IE.…”

Section: Discussionmentioning

confidence: 99%

“…7 Thus, it is prudent to be aware of the broad and appropriate differential diagnoses for pediatric patients who present with acute ischemic stroke. 7 Transthoracic echocardiography (TTE) remains an indispensable tool for the diagnosis of IE. Transesophageal echocardiography (TEE), however, remains more sensitive in detecting lesions <1 mm in size.…”

Section: Discussionmentioning

confidence: 99%

Pediatric infective endocarditis initially presenting as hemorrhagic stroke

Yonas

Pranata

Damay

et al. 2020

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Infective endocarditis refers to infection of the heart valves. While its incidence is low, it may cause serious complications. Despite advances in its management and diagnosis, this condition still retains high mortality and significant morbidity. Considerable controversy remains regarding antimicrobial prophylaxis to prevent infective endocarditis in patients with congenital heart disease. Neurologic complications are the second most common complication in patients with infective endocarditis, occurring in approximately 33% of cases.1 These include encephalopathy, meningitis, stroke, brain abscess, cerebral hemorrhage, and seizures. The vegetation formed as a consequence of endocarditis may dislodge and cause embolization. Vegetation size alone is an unreliable marker for embolization risk, however, size, in addition to location, mobility, infecting agent, and presence of antiphospholipid antibodies have the potential to be prognostic markers. The brain is the most frequent site of embolization. Furthermore, advances in medical approaches have resulted in an increase of patients at risk of endocarditis due to the now common and widely available indwelling intravascular approaches in medicine. In this report, we present a case of infective endocarditis in a child first presenting with hemorrhagic stroke.1,2

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