Publications by authors named "Dana Cummings"

Objective: Acute brain injury is a frequent perinatal neurologic complication that can involve the cerebellum. Although short-term outcomes of infants with neonatal cerebellar injury are well described, neurologic sequelae in older children are underreported. Here, we describe epilepsy-related outcomes in young children who suffered from neonatal cerebellar injuries.

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Article Synopsis
  • Vascular injury is a significant cause of death and illness in kids aged 29 days to 18 years, but it's often overlooked since it's less common than in adults.
  • The article discusses various causes of pediatric stroke, including those related to the heart, infections, autoimmune disorders, trauma, and genetics.
  • It emphasizes the importance of advanced noninvasive imaging techniques for accurately diagnosing pediatric strokes and differentiating them from similar conditions.
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Descriptions of the natural history of cerebrovascular complications of sickle cell disease (SCD) characterize ischemic stroke as common during childhood and hemorrhagic stroke as more common in adulthood. Childhood ischemic stroke is attributed to vasculopathy with moyamoya syndrome. Hemorrhagic stroke is commonly attributed to aneurysms accompanying HbSS cerebral vasculopathy in SCD.

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Objective: Cerebral infarction due to minor head injury is rare. Mineralizing angiopathy is considered a predisposing factor for lenticulostriate stroke after minor closed head injury. This entity is characterized by infarction of the basal ganglia and most often occurs in young children, from infancy to 2 years of age.

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Background: Timely recognition of stroke at major pediatric medical centers is improving, and although treatment guidelines for pediatric stroke exist, no extensive study establishing the efficacy of surgical or thrombolytic treatment has been completed. Extrapolation of adult guidelines to pediatric patients remains the mainstay of treatment in the absence of adequate information regarding safety and efficacy in children. Recent trials have demonstrated revascularization and clinical improvement after endovascular retrieval therapy in adults with acute large vessel occlusive stroke.

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We report a case of a 15-year-old boy who presented to our institution with left-sided weakness and slurred speech. He had a history of medulloblastoma diagnosed at 3 years of age, status postsurgical resection and craniospinal radiation. Magnetic resonance imaging (MRI) of brain revealed a right paramedian pontine infarction, suspected secondary to late-onset radiation-induced vasculopathy of the vertebrobasilar system.

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Article Synopsis
  • Thrombolytic therapy has enabled the establishment of primary pediatric stroke centers, similar to those for adults, aimed at rapid diagnosis and treatment of pediatric strokes during the TIPS trial.
  • Data from 17 participating centers showed significant improvements in readiness and capabilities, with over 80% of sites achieving critical systems like 24-hour stroke teams and MRI availability after preparation.
  • The TIPS trial successfully implemented standardized protocols for treating acute pediatric strokes, demonstrating enhanced clinical and system preparedness compared to pre-trial conditions.
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The objective of this study was to evaluate the neuropsychiatric effects of the alpha-2a adrenergic agonist guanfacine in children with Tourette syndrome (TS). Twenty-four children with TS participated in a 4-week, double-blind, placebo-controlled study of guanfacine. Tic severity, neuropsychologic functioning, and parent ratings of behavior were evaluated pre- and post-treatment.

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