Stroke

Question 1

CSVT tx

Answer 1

LMWH
neonate 6w-3mo
children: 3-6mo

Question 2

what is watershed infarct

Answer 2

infarct at border zone between 2 arterial territories

Question 3

peds stroke RF

Answer 3

SCD
heart disease (intraop)
acute systemic infl: infection, dehydration, IDA, prothrombotic disorders, chronic disease

Question 4

what is moyamoya and RF

Answer 4

progressive stenosis of distal ICAs with formation of 2o distal collateral vessels

CRT, NF-1, SCD, T21, East Asian

Question 5

Stroke mgt

Answer 5

Cardioembolic: LMWH/VKA x3mo
Dissection: LMWH/VKA x3mo then ASA x2+y

Neonatal only tx cardioembolic
- LMWH x 3-6mo then ASA if unrepaired cardiac lesion

Question 6

malignant MCA infarct definition, epi, tx

Answer 6

transtentorial herniation
1-12% in children with MCA-AIS
Tx: decompressive hemicraniectomy

Question 7

Stroke 2o prevention (non-SCD)

Answer 7

If no dissection or cardioembolic cause: ASA proph

Stroke on ASA, change to clopidogrel or LMWH/VKA