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Case Reports
Acute pediatric stroke-what's the hurry? A case for emergency physician-performed echocardiography.
- Christopher D Thom and Scott E Sparks.
- Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA; Department of Emergency Medicine, Virginia Commonwealth University Health System, Richmond, VA.
- Am J Emerg Med. 2014 Nov 1; 32 (11): 1440.e3-5.
AbstractAcute ischemic stroke in a pediatric population is uncommon and has a different etiology from the adult population. We describe a case of acute ischemic stroke for which emergent, physician-sonographer–performed transthoracic echocardiography (TTE) changed his outcome.The patient in this case presented with left-sided hemiparesis,with subsequent CT Angiography (CTA) imaging and follow-on neurosurgical embolectomy for a proximal middle cerebral artery occlusion after which showed early recovery of muscular deficit. The cause ultimately was from an atrialmyxoma that was identified early by emergency physician-performed TTE and led to early resection possibly preventing recurrence of stroke.
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