Child Neurology Society's Brainstorm CNS Brainstorm Episode 6 "Pediatric Stroke" with guest Lori Jordan, MD, PhD
Mar 4, 2025
Lori Jordan, MD, PhD, is an Associate Professor of Pediatrics and Director of the Pediatric Stroke Program at Vanderbilt University, specializing in pediatric stroke. In this discussion, she highlights the unique aspects of pediatric strokes, emphasizing the need for greater medical awareness. Topics include risk factors by age, advancements in treatment options, and the importance of prompt management strategies, especially for conditions like sickle cell disease. Additionally, she underscores significant research developments, particularly linking strokes to viral infections and the ongoing challenges in pediatric stroke care.
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Managing Suspected Newborn Stroke
- If a newborn has a suspected stroke, examine the placenta for clots to determine the etiology.
- Routine hypercoagulability testing is not recommended for infants with perinatal stroke.
Perinatal Stroke Risk Factors and Presentation
- Perinatal strokes often lack identifiable risk factors, but male sex is associated with increased risk.
- Later-presenting perinatal strokes may manifest as early hand preference or seizures around 4-6 months.
Ischemic Stroke in Older Children
- Major risk factors for ischemic stroke in older children include arteriopathy, heart disease (often congenital), and sickle cell disease.
- Common presenting symptoms include hemiparesis, focal seizures, aphasia, ataxia, and double vision.