title: Ischemic stroke complicating pediatric cardiovascular disease.
abstract: BACKGROUND
  After a year of unsuccessful treatment for hypertension, a young boy underwent a stenting procedure for aortic hypoplasia and awoke with hemiparesis and language deficits.
  
  
  METHODS
  Neuroimaging, echocardiography, craniocervical vascular imaging and prothrombotic testing.
  
  
  METHODS
  Procedure-related acute arterial ischemic stroke and malignant cerebral edema with herniation.
  
  
  RESULTS
  Anticoagulation with heparin, seizure prophylaxis and neuroprotective care, including external cooling for hyperthermia. Medical management of increased intracranial pressure and hemicraniectomy at 48 h for malignant cerebral edema. Treatment of deep vein thrombosis with inferior vena cava filter was also required. Long term treatments included extensive rehabilitation, aspirin, antiepileptics, antidyskinetics, antidepressants, antihypertensives and cosmetic skull reconstruction.
authors.affiliation: Children's Stroke Program, Division of Neurology, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada. adam.kirton@sickkids.ca
authors.forename: Adam
authors.initials: A
authors.lastname: Kirton
authors.forename: Gabrielle
authors.initials: G
authors.lastname: DeVeber
mesh_terms: D000925:Anticoagulants; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001018:Aortic Diseases / Q000150:complications* / Q000151:congenital / Q000175:diagnosis; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006328:Cardiac Catheterization; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007036:Hypothermia, Induced; D018810:Magnetic Resonance Angiography; D008297:Male; D018696:Neuroprotective Agents / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants; D018696:Neuroprotective Agents