CASE REPORT

Pathways of neonatal stroke and subclavian steal syndrome

L M Beattie¹, S J Butler², D E Goudie³

¹ Paediatric Department, Queen Mother’s Hospital, Dalnair Street, Glasgow G3 8SJ, Scotland, UK
² Department of Radiology, Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, Scotland, UK
³ Department of Paediatrics, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, Scotland, UK

Correspondence to:
Correspondence to:
Dr Beattie
Paediatric Department, Queen Mother’s Hospital, Dalnair Street, Glasgow G3 8SJ, Scotland, UK; lynne_beattie{at}hotmail.com

Neonatal stroke may occur silently. Identification of potential embolic pathways unique to the neonate is important when investigating the aetiology of infarction and arterial occlusion, and preventing further episodes. This is a case report of an infant with venous thrombus embolising across the foramen ovale causing cerebral infarction and subclavian artery steal syndrome, without neurological signs.

Abbreviations: ADC, apparent diffusion coefficient; IVC, inferior vena cava; LAC, lupus anti-coagulant antibody; MCA, middle cerebral artery; MRA, magnetic resonance arteriography; PFO, patent foramen ovale

Keywords: stroke; steal syndrome; patent foramen ovale

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• Raju, T. N.K., Nelson, K. B., Ferriero, D., Lynch, J. K., and the NICHD-NINDS Perinatal Stroke Workshop Part, (2007). Ischemic Perinatal Stroke: Summary of a Workshop Sponsored by the National Institute of Child Health and Human Development and the National Institute of Neurological Disorders and Stroke. Pediatrics 120: 609-616 [Abstract] [Full Text]  

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