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Case report
Pathways of neonatal stroke and subclavian steal syndrome
  1. L M Beattie1,
  2. S J Butler2,
  3. D E Goudie3
  1. 1Paediatric Department, Queen Mother’s Hospital, Dalnair Street, Glasgow G3 8SJ, Scotland, UK
  2. 2Department of Radiology, Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, Scotland, UK
  3. 3Department of Paediatrics, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, Scotland, UK
  1. Correspondence to:
    Dr Beattie
    Paediatric Department, Queen Mother’s Hospital, Dalnair Street, Glasgow G3 8SJ, Scotland, UK; lynne_beattie{at}hotmail.com

Abstract

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.

  • 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
  • stroke
  • steal syndrome
  • patent foramen ovale

https://doi.org/10.1136/adc.2005.079830

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    Footnotes

    • Competing interests: none declared

    • Written consent was obtained from the mother.