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{
    "pk": 6586,
    "title": "Face-off Droop: A Case Report of Pediatric Stroke",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Cerebrovascular accidents rarely occur in children; the incidence of ischemic stroke in patients &lt;16 years of age is between 0.6&ndash;7.9/100,000. However, they are the fourth most common cause of acute neurological deficits in the pediatric population, and possible cases should be evaluated with a high index of suspicion to ensure timely intervention.</p>\n<p><strong>Case Report:</strong> We describe a previously healthy 17-year-old male who presented to the pediatric emergency department with a left facial droop and hemiparesis consistent with a stroke. The patient&rsquo;s age and lack of comorbidities made this an extremely uncommon presentation. Our patient&rsquo;s neurologic symptoms were believed to have been caused by a recent traumatic clavicular injury sustained two weeks prior, which subsequently led to vascular insult.</p>\n<p><strong>Conclusion: </strong>Cerebrovascular accidents are an important cause of morbidity and mortality in pediatric patients. Cerebrovascular accidents in children are most often secondary to congenital causes; however, care should be taken to assess for acquired causes, such as trauma to major blood vessels. While rarely implicated in traumatic injuries, arterial structures posterior to the medial clavicle can result in severe complications. </p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "stroke"
        },
        {
            "word": "Clavicle Fracture"
        },
        {
            "word": "Pseudoaneurysm"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4bn1r0td",
    "frozenauthors": [
        {
            "first_name": "Duncan",
            "middle_name": "",
            "last_name": "Robertson",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Hayden",
            "middle_name": "F.",
            "last_name": "Peirce",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Pediatrics, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Marek",
            "middle_name": "D.",
            "last_name": "Nicpon",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Radiology, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Eric",
            "middle_name": "M.",
            "last_name": "Otterson",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Laurel",
            "middle_name": "",
            "last_name": "O'Connor",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Julia",
            "middle_name": "G.",
            "last_name": "Rissmiller",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Radiology, Worcester, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Zachary",
            "middle_name": "W.",
            "last_name": "Binder",
            "name_suffix": "",
            "institution": "University of Massachusetts, Chan Medical School, Department of Pediatrics, Worcester, Massachusetts",
            "department": ""
        }
    ],
    "date_submitted": "2023-11-27T23:34:59.793000-03:00",
    "date_accepted": "2024-01-22T15:01:15.579000-03:00",
    "date_published": "2024-04-24T09:00:00-04:00",
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        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6586/galley/10645/download/"
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    "galleys": [
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            "label": "Layout",
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        {
            "label": "Final Article",
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}