Variability in Clinical Presentation of Neonatal Stroke: Report of Four Cases

Table 1

	Case	Case	Case	Case
Gestational age	33 weeks	37.4 weeks	39 weeks	38 weeks
Presence of prenatal care	None	None	Yes	Yes
Risk factors associated with stroke	Preeclampsia,; primiparity	Resuscitation at birth	None	Preeclampsia,; IUGR,; smoking, obesity; H/o diabetes mellitus type 2 (normal GTT)
Presenting symptoms	Hypotonia,; respiratory distress	Central apnea,; hyperthermia,; respiratory distress	Seizures	Central apnea,; respiratory distress
APGAR score at 1, 5, 10 min	1, 5, 8	8, 1, 7	8, 9, 9	8, 9, 9
Clinical course	Receiving prolonged mechanical ventilation; Requiring inotropes and blood products; Clinical recovery	Requiring prolonged mechanical ventilation,; Receiving inotropes, transfusions of FFP, packed RBCs; Clinical recovery	Seizure activity controlled with AED; Requiring high GIR and calcium gluconate supplements; Clinical recovery	Mild oxygen requirements; Clinical recovery
Placental pathology	Placental infarct	Not performed	Not performed; + KB test	Acute funisitis, acute chorioamnionitis, placental infarct
Coagulation work-up	Negative	Negative	Negative	Negative
Follow-up of the patient	Anticoagulation	Conservative management	Conservative management	Conservative management