Journal of Pediatric Neurology and Medicine

Michael McQuade

Publications

• Case Report
  Use of tPA in a 16 Year Old with Acute MCA Stroke
  Author(s): Akua Fordjour, Michael McQuade and Rodica PetreaAkua Fordjour, Michael McQuade and Rodica Petrea
  
  Introduction: The incidence of pediatric stroke is 1.29-13.0 per 100,000 annually. Use of fibrinolytic therapy in qualified adults with acute ischemic stroke is standard practice. However, alteplase is not recommended in pediatric patients. Case: We report a case of a 16 year old Caucasian female who presented to the emergency room with aphasia and right arm numbness one hour and twenty minutes after symptom onset. National Institutes of Health Stroke Scale (NIHSS) was three. Initial computed tomography without contrast showed a hyper-dense left middle cerebral artery (MCA). The patient was below the minimum age for alteplase administration in acute ischemic stroke. Written consent was obtained from the parents and 90 mg alteplase (0.9 mg/kg; 90 mg maximum) was administered 3 h 25 min after symptom onset. Right arm numbness resolved th.. Read More»
  DOI: 10.4172/2472-100X.1000117

  Abstract PDF