Cerebral Vascular Accidents in Cyanotic Congenital Heart Disease

doi:10.1001/archpedi.1973.04160040010003

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Vol. 125 No. 4, April 1973

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Cerebral Vascular Accidents in Cyanotic Congenital Heart Disease

Carol M. Cottrill, MD; Samuel Kaplan, MD

Am J Dis Child. 1973;125(4):484-487.

Abstract

A study of 29 patients with cerebrovascular accidents complicatingcyanotic congenital heart disease revealed that the predominantcentral nervous system lesion was cerebral venous thrombosis.Young, cyanotic children, particularly those whose blood indicesdenote a hypochromic, microcytic anemia, are at risk to developcentral nervous system complications. Since cyanotic infantswith hypochromic microcytic anemia may have hemoglobin and hematocritlevels in the normal range, measurement of cell indices andmicroscopic examination of blood smears are necessary to excludeiron deficiency anemia.

Author Affiliations

Cincinnati

From the Department of Pediatrics, University of Cincinnati, Cincinnati.

Footnotes

Received for publication July 10, 1972; accepted Dec 22.

Reprint requests to Children's Hospital, Cincinnati 45229 (Dr.Kaplan).

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