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

Sani Bukari, Abdul Hafeez Siddiqui, Madhvi Rajpurkar, Meera Chitlur

Division of Hematology/Oncology, Department of Pediatrics, Children’s and Women’s Hospital, University of South Alabama, Mobile, USA.
Division of Hematology/Oncology, Department of Pediatrics, Children’s Hospital of Michigan, Wayne State University, Detroit, USA.

DOI: 10.4236/ojped.2012.21012                

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.

Keywords

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

Conflicts of Interest

The authors declare no conflicts of interest.

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