Infant Stroke Associated With Left Atrial Thrombus and Supraventricular Tachycardia
| Autor: | Gayatra Mainali, Elise L. Mercier, Ashutosh Kumar, Rachel Pauley, William H. Trescher |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
focal epilepsy
medicine.medical_specialty supraventricular tachycardia (SVT) Case Report arterial ischemic stroke (AIS) 030204 cardiovascular system & hematology Intracardiac injection lcsh:RC346-429 03 medical and health sciences Epilepsy 0302 clinical medicine Internal medicine medicine Coagulopathy ADHD Epilepsy surgery hemiparesis cardiovascular diseases Stroke lcsh:Neurology. Diseases of the nervous system business.industry lcsh:RJ1-570 lcsh:Pediatrics General Medicine medicine.disease Focal motor seizures developmental delay intracardiac thrombi Hemiparesis Cardiology cardiovascular system Supraventricular tachycardia medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Child Neurology Open, Vol 8 (2021) Child Neurology Open |
| Popis: | We report a rare case of cardioembolic stroke in the setting of supraventricular tachycardia (SVT) in an infant. After a week of irritability, a 10-week-old male presented to the emergency department with SVT requiring treatment with adenosine. He developed right-sided hemiparesis and focal motor seizures. Imaging of the brain showed ischemic infarct in the left middle cerebral artery (MCA) territory. Echocardiogram showed a newly formed large left atrial intracardiac thrombus. A coagulopathy workup was negative. He was treated with beta-blocker and anticoagulation therapy. He had mild residual right hemiparesis. During childhood, he developed medically refractory focal epilepsy from the left hemisphere, requiring epilepsy surgery at age 10. A child presenting with sustained SVT can be at increased risk for intracardiac thrombi and stroke. |
| Databáze: | OpenAIRE |
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