Perinatal arterial ischemic stroke and multiple thrombo-emboli in a term newborn

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DOI: 10.4236/ojped.2012.21012    4,304 Downloads   7,241 Views  Citations

ABSTRACT

The etiology of perinatal arterial ischemic strokes may be maternal, fetal or both. Venous thrombo-embolism is almost always catheter associated in new-borns. Preliminary guidelines for management of perinatal arterial ischemic strokes exist but are mostly based on adult studies. We report a unique case of perinatal arterial ischemic stroke, lower extremity arterial and inferior vena-caval thrombosis. Our patient was treated with unfractionated heparin for 10 days then switched to low molecular heparin to complete 6 months of therapy. The patient responded well to therapy and shows minimal signs of permanent neurologic deficits after 6 months.

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Bukari, S. , Siddiqui, A. , Rajpurkar, M. and Chitlur, M. (2012) Perinatal arterial ischemic stroke and multiple thrombo-emboli in a term newborn. Open Journal of Pediatrics, 2, 73-76. doi: 10.4236/ojped.2012.21012.

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