Journal of Child Neurology

 

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0883073808315416v1
23/9/1070    most recent
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First published on May 12, 2008, doi:10.1177/0883073808315416

Journal of Child Neurology 2008;23:1070.

A more recent version of this article appeared on September 1, 2008

Article

Cryptogenic Stroke in a Boy With Atrial Septal Defect and Hyperhomocysteinemia

Giuseppe Indolfi, MD*, Elisa Bartolini, MD, Sandra Trapani, MD, PhD, Chiara Azzari, MD, PhD, and Massimo Resti, MD

the Department of Pediatrics, University of Florence, Anna Meyer Children’s Hospital, Florence, Italy

* To whom correspondence should be addressed. E-mail: g.indolfi{at}meyer.it.


  Abstract
In children, clinical recognition of stroke and determination of its exact etiology are extremely difficult. The authors described a case of cryptogenic stroke in a 14-year-old-boy with asymptomatic atrial septal defect and hypercoagulable state. Paradoxical embolism was hypothesized as the responsible etiopathological mechanism. It is crucial to increase clinician awareness of stroke in children.


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