On examination, the child is well appearing with normal vital signs and a normal
physical examination. His parents confirm that he appears normal to them now.
During an observation period, you are called in to the room to find a crying baby with
clonic movements of the left upper extremity, lasting seconds to a minute. The child has no evidence of apnea and his repeat vital signs after this second episode are
A CT of his head shows evidence of an early ischemic stroke.
Regarding this boy’s presenting condition, which of the following is TRUE:
A. Most cases of stroke in full-term neonates are hemorrhagic
B. Seizure is a common presentation of neonatal stroke
C. Mortality from ischemic stroke in children < 1 year of age is similar to that of
D. Most ischemic strokes in neonates occur in cases of prematurity
In the meantime, a few quotes –
The human body is like a bakery with a thousand windows. We are looking into only one window of the bakery when we are investigating one particular aspect of a disease.
– Béla Schick (1877-1967), Austrian pediatrician
The proper study of geriatrics begins with pediatrics.
– David Seegal (1892-1972), US medical educator