TY  - CHAP
M1  - Book, Section
TI  - Cerebral Vascular Accident
A1  - Chumley, Heidi
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  16-year-old  boy  with  a  history  of  idiopathic  dilated  cardiomyopathy  and  severe  ventricular  dysfunction  was  admitted  to  the  hospital  for  vomiting,  confusion,  involuntary  movements,  and  slurred  speech.  On  physical  examination,  he  was  found  to  be  lethargic  and  to  have  dysmetria  with  the  finger-to-nose  test,  ataxia,  and  incoordination  of  rapid  alternating  movements.  He  was  found  to  have  decreased  biventricular  systolic  dysfunction  and  a  large  thrombus  at  the  apex  of  the  left  ventricle  on  cardiac  echocardiogram,  and  a  left  cerebellar  stroke  on  CT  scan  of  the  brain  (Figure  204-1).  He  was  treated  with  anticoagulation  and  supportive  care,  with  improvement  of  his  neurologic  symptoms.  He  eventually  underwent  a  successful  orthotopic  heart  transplant.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114879802
ER  -