Acute pediatric stroke-what%26apos;s the hurry? A case for emergency physician-performed echocardiography

作者:Thom Christopher D*; Sparks Scott E
来源:American Journal of Emergency Medicine, 2014, 32(11): 1440.e3.
DOI:10.1016/j.ajem.2014.04.023

摘要

Acute 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 atrial myxoma that was identified early by emergency physician-performed TTE and led to early resection possibly preventing recurrence of stroke.

  • 出版日期2014-11