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Low-Molecular-Weight Heparin Use in a Case of Noncardiogenic Multifocal Perinatal Thromboembolic Stroke

Authors
Journal
Advances in Hematology
1687-9104
Publisher
Hindawi Publishing Corporation
Publication Date
Volume
2009
Identifiers
DOI: 10.1155/2009/153643
Keywords
  • Case Report
Disciplines
  • Medicine

Abstract

A full-term neonate suffered multifocal cerebral infarctions due to multiple large vessel thrombi. Thrombophilia and cardiovascular assessments were negative, but due to the severity of the lesions and the concern for expansion of the thrombi or future embolic events, treatment with low-molecular-weight heparin (LMWH) was initiated. No complications from treatment were experienced. We present this severe case in order to highlight difficult management decisions for newborns with multifocal perinatal thromboembolic stroke and to stress the need for further practice guidelines and research in this area.

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