Pediatrics & Neonatology
Volume 49, Issue 3 , Pages 97-100, June 2008

Hemorrhagic Stroke Associated with Pulmonary Edema and Catastrophic Cardiac Failure

  • Jiun-Chang Lee

      Affiliations

    • Division of Pediatric Neurology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • ,
  • Jainn-Jim Lin

      Affiliations

    • Division of Pediatric Neurology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • Division of Pediatric Critical and Emergency Medicine, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • ,
  • Kuang-Lin Lin

      Affiliations

    • Division of Pediatric Neurology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • Corresponding Author InformationCorresponding author. Division of Pediatric Neurology, Chang Gung Children's Hospital, 5 Fu-Shin Street, Wei-Shan, Taoyuan 333, Taiwan
    • ,
  • Shao-Hsuan Hsia

      Affiliations

    • Division of Pediatric Critical and Emergency Medicine, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • ,
  • Chang-Teng Wu

      Affiliations

    • Division of Pediatric Critical and Emergency Medicine, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
    • ,
  • Alex Mun-Ching Wong

      Affiliations

    • Division of Neuroradiology, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan

Received 26 February 2008; received in revised form 15 April 2008; accepted 25 June 2008.

Article Outline

Cerebral arteriovenous fistula (AVF) is a vascular malformation that is rare in the pediatric population. Older children with cerebral AVF tend to present with neurologic problems related to intracranial venous hypertension or intracranial hemorrhage. Cardiac and pulmonary complications following acute neurologic injury such as subarachnoid hemorrhage are common in adults, but are rarely reported in children. However, complications have been reported in cases of enterovirus 71 rhombencephalitis in infants and children and can cause high morbidity and mortality. Here, we report a 14-year-old boy who presented with cardiac failure associated with pulmonary edema following cerebral hemorrhagic stroke due to AVF. After aggressive investigation and management, we intervened before significant hypoxia and hypotension developed, potentially reducing the risk of long-term adverse neurologic consequences in this patient.

Key Words:  arteriovenous fistula , cardiac failure , hemorrhagic stroke , pulmonary edema

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PII: S1875-9572(08)60021-2

doi:10.1016/S1875-9572(08)60021-2

Pediatrics & Neonatology
Volume 49, Issue 3 , Pages 97-100, June 2008

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