Infant Stroke Associated With Left Atrial Thrombus and Supraventricular Tachycardia.
ADHD
arterial ischemic stroke (AIS)
developmental delay
focal epilepsy
hemiparesis
intracardiac thrombi
supraventricular tachycardia (SVT)
Journal
Child neurology open
ISSN: 2329-048X
Titre abrégé: Child Neurol Open
Pays: United States
ID NLM: 101691975
Informations de publication
Date de publication:
Historique:
received:
02
09
2020
revised:
23
12
2020
accepted:
12
01
2021
entrez:
1
3
2021
pubmed:
2
3
2021
medline:
2
3
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 33644250
doi: 10.1177/2329048X21995296
pii: 10.1177_2329048X21995296
pmc: PMC7894682
doi:
Types de publication
Case Reports
Langues
eng
Pagination
2329048X21995296Informations de copyright
© The Author(s) 2021.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The authors have no potential conflicts of interest regarding research, authorship, and/or publication of this article. Case reports are exempt from our institutional IRB. Consent was obtained from parents prior to publication.
Références
Ann Neurol. 2011 Jan;69(1):130-40
pubmed: 21280083
J Arrhythm. 2019 May 14;35(3):499-505
pubmed: 31293699
Continuum (Minneap Minn). 2018 Feb;24(1, Child Neurology):150-170
pubmed: 29432241
J Child Neurol. 1995 May;10(3):239-41
pubmed: 7642897
Int J Cardiol. 2008 Dec 17;131(1):e17-9
pubmed: 17919752
J Pediatr Health Care. 2008 Sep-Oct;22(5):289-99
pubmed: 18761230
J Clin Diagn Res. 2014 Jul;8(7):PD01-2
pubmed: 25177615
Acta Paediatr. 2003 Sep;92(9):1058-61
pubmed: 14599070
Pediatr Neurol. 1985 Jan-Feb;1(1):54-6
pubmed: 3880391
HeartRhythm Case Rep. 2015 Oct 23;2(1):71-73
pubmed: 28491636
Pediatr Cardiol. 1995 Jul-Aug;16(4):182-5
pubmed: 7567664
Eur J Pediatr. 1992 Jan;151(1):12-4
pubmed: 1728536