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 Y1 - 2015 N1 - 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 - 2024/11/10 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114879802 ER -