Pediatric stroke is a rare but important cause of lifelong disability. The science guiding therapeutic management of acute ischemic stroke in adults is in the midst of a tidal shift. Now there is evidence supporting interventional restoration of cerebral perfusion many hours after symptom onset. How this sea change will influence our management of pediatric stroke is hotly debated. Join our expert panel’s GlobalCastMD conversation about the future of pediatric stroke care.
Sudhakar Vadivelu, DO, joined the Division of Pediatric Neurosurgery at Cincinnati Children's Hospital Medical Center after completing his fellowship in pediatric neurosurgery at Texas Children’s Hospital and neurosurgical residency at Hofstra North Shore- LIJ School of Medicine. While at Hofstra North Shore-LIJ, he acquired additional training in open cerebrovascular surgery and endovascular surgery for specialized training in the care of vascular disorders of the brain and spine. Dr. Vadivelu’s interest, specialized training and research background in the role of inflammation in neurogenesis and stem cells, make him uniquely qualified to lead our division in its collaborative efforts with the division of interventional neuroradiology for the treatment of children with vascular disorders of the brain and spine. In addition, Dr. Vadivelu brings expertise in spinal diseases, brain and spinal cord tumors, neuroendoscopy and neurostimulation.
Todd Abruzzo, MD, FAHA, is Co-director of the Section of Vascular Diseases and Therapeutics at the Barrow Neurological Institute at Phoenix Children’s Hospital and Head of Pediatric Neuroendovascular Therapy at Phoenix Children’s Hospital. He is a professor in the Mayo Clinic College of Medicine, and the University of Arizona, with an adjunct faculty appointment in the Arizona State University School of Biological and Health Systems Engineering. Dr. Abruzzo specializes in the diagnostic evaluation and interventional treatment of infants and children with stroke, vascular malformations, neurovascular injuries, aneurysms, ocular tumors, vascular tumors, stroke, and a wide range of cerebrovascular disorders including pseudotumor cerebri and venous sinus thrombosis. Dr. Abruzzo has authored more than 100 journal articles and book chapters on neurovascular diseases and interventional technologies. He is board certified in Radiology and has subspecialty certification in Neuroendovascular Surgery from the Society of Neurological Surgeons, Committee on Advanced Subspecialty Training (CAST). He is a fellow of the American Heart Association, and a senior member of the Society of Neurointerventional Surgery (SNIS) and the American Society of Neuroradiology (ASNR). He has received peer awards including the Castle Connolly, Top Doctors Award and the Best Doctors in America, Best Doctors Award.
Dr. Kurz’s research interests focus on basic mechanisms underlying depression and neurologic sequelae of acute brain injuries, and on improving the care of children with neurologic critical illness. His current laboratory research involves potential antidepressant therapeutic strategies revolving around manipulation of a brain-specific subunit of hyperpolarization-activated, cyclic nucleotide-gated ion channels. Dr. Kurz is involved with clinical research related to the care of children with stroke and other types of acute brain injuries.
Dr. Lehman is a child neurologist with special interest in cerebrovascular disorders, stroke, and neurocritical care. She is Currently involved in the inpatient Intensive Care Neurology Service, inpatient and outpatient for the Stroke and Cerebrovascular Center, and outpatient general neurology clinics. Dr. Lehman is the Outpatient Medical Director for the Stroke and Cerebrovascular Center that focuses on a multidisciplinary approach to optimize diagnosis and treatment. Laura's current research also focuses on cerebrovascular disorders and stroke with specific focus on risk factors in both perinatal and childhood stroke and emotional outcomes of parents and children following pediatric stroke.
Dr. Lori Luchtman-Jones is a pediatric hematologist-oncologist in Cincinnati, Ohio. She received her medical degree from University of California San Diego School of Medicine and has been in practice for more than 20 years. She is one of the few doctors at Cincinnati Children's Hospital Medical Center who specialize in Pediatric Hematology-Oncology.
Dr. Prestigiacomo interests focus on several clinical and basic research topics. Clinically, his interests include outcomes analysis and decision analysis for patients with the various forms of cerebrovascular and spinal vascular disease along with the treatment paradigms. This interest also carries over to critical care and trauma management of patients since some vascular pathology is seen in these populations of patients as well.
- Systemic challenges in acute pediatric stroke care
- Acute stroke algorithm
- Pediatric stroke epidemiology
- Stroke mimics
- Updates in interventional stroke care treatment
- Impact of interventional treatment on pediatric stroke care
- Reperfusion considerations in children
- Antithrombotic management in high risk stroke patients
1. Discuss common acute stroke presentations in children.
2. Discuss potential pitfalls in algorithms designed for handling pediatric acute stroke.
3. Discuss areas to investigate for potential treatments that may be amenable to pediatric acute stroke.