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Management of a Massive Pediatric Cerebral Infarct with Mass Effect

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Abstract

A preschool child presented with a large middle cerebral artery (MCA) infarct with midline shift, overt signs of raised intracranial pressure and hemodynamic instability. Aggressive management including ventilatory support was instrumental in the successful outcome. Raising awareness of pediatric stroke is crucial to improving overall care of these children.

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References

  1. Amlie-Lefond C, Sébire G, Fullerton HJ. Recent developments in childhood arterial ischaemic stroke. Lancet Neurol. 2008;7:425–35.

    Article  PubMed  Google Scholar 

  2. Castillo J. Deteriorating stroke: diagnostic criteria, predictors, mechanisms and treatment. Cerebrovasc Dis. 1999;9:1–8.

    Article  PubMed  Google Scholar 

  3. Sachdev A, Sharma R, Gupta D. Cerebrovascular complications in pediatric intensive care unit. Indian J Crit Care Med. 2010;14:134–40.

    Article  Google Scholar 

  4. Ranjit S. Emergency and intensive care management of a comatose patient with intracranial hypertension, current concepts. Indian Pediatr. 2006;43:409–15.

    PubMed  Google Scholar 

  5. Fisher B, Thomas D, Peterson B. Hypertonic saline lowers raised intracranial pressure in children after head trauma. J Neurosurg Anesthesiol. 1992;4:4–10.

    Article  PubMed  CAS  Google Scholar 

  6. Roach ES, Meredith R, Golomb MR, et al. Management of stroke in infants and children. Stroke. 2008;39:2644–91.

    Article  PubMed  Google Scholar 

  7. Nestoridi E, Buonanno FS, Jones RM, et al. Arterial ischemic stroke in childhood: the role of plasma-phase risk factors. Curr Opin Neurol. 2002;15:139–44.

    Article  PubMed  Google Scholar 

  8. Lopez-Vicente M, Ortega-Gutierrez S, Amlie-Lefond C, Torbey MT. Diagnosis and management of pediatric arterial ischemic stroke. J Stroke Cerebrovasc Dis. 2010;19:175–83.

    Article  PubMed  Google Scholar 

  9. Adama Jr HP, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischaemic stroke. Circulation. 2007;115:e478–534.

    Article  Google Scholar 

  10. Coull BM, Williams LS, Goldstein LB, et al. Anticoagulants and antiplatelet agents in acute ischemic stroke. Stroke. 2002;33:1934–42.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Banani Poddar.

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Singh, P., Poddar, B. & Singh, R.K. Management of a Massive Pediatric Cerebral Infarct with Mass Effect. Indian J Pediatr 79, 1658–1660 (2012). https://doi.org/10.1007/s12098-011-0665-9

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  • DOI: https://doi.org/10.1007/s12098-011-0665-9

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