Pediatric AIS patients with ICH during ACT
| Case no. . | Age, y . | Sex . | Pre-existing condition . | Pre-existing ICH . | Treatment at time of ICH . | Interval event to ICH . | ECASS grade . | Change over time . | Clinical presentation at time of ICH . | Risk factor for bleed . | Clinical Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 15.7 | F | Acute myeloid leukemia, Antiphopholipid syndrome | None | UFH | 7 | HI1 | Progression, remained HI1 | Asymptomatic then coma due to recurrent AIS and ICH | Abnormal lab: PLT-32, anti–Xa-0.81, HgB-85 APLA ayndrome | Died (fatal catastrophic APLA syndrome with recurrent emboli and bleeds) |
| 2 | 10.4 | M | CHD | None | Warfarin | 10 | HI2 | Regression, HI1 | Asymptomatic | Died (cardiac) | |
| 3 | 11.5 | M | CHD-S/P heart transplant. | None | LMWH | 20 | Asymptomatic | Mild neurological deficit | |||
| 4 | 11 | M | CHD | None | UFH and ASA | 6 | HI1 | Asymptomatic | Severe neurological deficit | ||
| 5 | 5.8 | M | Vasculitis | None | UFH | 9 | Asymptomatic | Severe neurological deficit | |||
| 6 | 1.5 | F | CHD | None | LMWH and Warfarin | 9 | HI2 | Asymptomatic | Severe neurological deficit | ||
| 7 | 14.8 | M | Hyperlipidemia | None | LMWH | 12 | HI2 | Asymptomatic | Normal | ||
| 8 | 2.2 | M | CHD after Fontan surgery | Yes | LMWH | 26 | PH2 | Asymptomatic | Abnormal lab: INR-3 | Severe neurological deficit | |
| ECASS HI1 | |||||||||||
| 9 | 2.6 | F | Post varicella vaccine | None | LMWH | 13 | HI1 | Asymptomatic | Moderate neurological deficit | ||
| 10 | 7.9 | F | Post varicella | None | UFH | 4 | Facial drop and aphasia | Mild neurological deficit | |||
| 11 | 1.4 | M | Moya-moya disease | None | UFH and ASA | 3 | HI1 | Progression, HI1 | Focal seizure and irritability | Severe neurological deficit | |
| 12 | 2.9 | F | CHD after catheterization | None | LMWH and Warfarin | 15 | HI1 | Irritability | Died (cardiac) | ||
| 13 | 14 | M | CHD after catheterization | None | UFH | 2 | HI1 | Loss of consciousness/coma | Moderate neurological deficit | ||
| 14 | 8.9 | M | Minor trauma | None | LMWH | 10 | HI1 | Headache and vomiting | Severe neurological deficit |
| Case no. . | Age, y . | Sex . | Pre-existing condition . | Pre-existing ICH . | Treatment at time of ICH . | Interval event to ICH . | ECASS grade . | Change over time . | Clinical presentation at time of ICH . | Risk factor for bleed . | Clinical Outcome . |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 15.7 | F | Acute myeloid leukemia, Antiphopholipid syndrome | None | UFH | 7 | HI1 | Progression, remained HI1 | Asymptomatic then coma due to recurrent AIS and ICH | Abnormal lab: PLT-32, anti–Xa-0.81, HgB-85 APLA ayndrome | Died (fatal catastrophic APLA syndrome with recurrent emboli and bleeds) |
| 2 | 10.4 | M | CHD | None | Warfarin | 10 | HI2 | Regression, HI1 | Asymptomatic | Died (cardiac) | |
| 3 | 11.5 | M | CHD-S/P heart transplant. | None | LMWH | 20 | Asymptomatic | Mild neurological deficit | |||
| 4 | 11 | M | CHD | None | UFH and ASA | 6 | HI1 | Asymptomatic | Severe neurological deficit | ||
| 5 | 5.8 | M | Vasculitis | None | UFH | 9 | Asymptomatic | Severe neurological deficit | |||
| 6 | 1.5 | F | CHD | None | LMWH and Warfarin | 9 | HI2 | Asymptomatic | Severe neurological deficit | ||
| 7 | 14.8 | M | Hyperlipidemia | None | LMWH | 12 | HI2 | Asymptomatic | Normal | ||
| 8 | 2.2 | M | CHD after Fontan surgery | Yes | LMWH | 26 | PH2 | Asymptomatic | Abnormal lab: INR-3 | Severe neurological deficit | |
| ECASS HI1 | |||||||||||
| 9 | 2.6 | F | Post varicella vaccine | None | LMWH | 13 | HI1 | Asymptomatic | Moderate neurological deficit | ||
| 10 | 7.9 | F | Post varicella | None | UFH | 4 | Facial drop and aphasia | Mild neurological deficit | |||
| 11 | 1.4 | M | Moya-moya disease | None | UFH and ASA | 3 | HI1 | Progression, HI1 | Focal seizure and irritability | Severe neurological deficit | |
| 12 | 2.9 | F | CHD after catheterization | None | LMWH and Warfarin | 15 | HI1 | Irritability | Died (cardiac) | ||
| 13 | 14 | M | CHD after catheterization | None | UFH | 2 | HI1 | Loss of consciousness/coma | Moderate neurological deficit | ||
| 14 | 8.9 | M | Minor trauma | None | LMWH | 10 | HI1 | Headache and vomiting | Severe neurological deficit |
M indicates male; and F, female.
Case 8 ACT despite initial ICH administered ACT for cardiac indication (shunt). Patient also had history of femoral vein thrombosis.