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Children (Basel). 2017 Jul 31;4(8). pii: E64. doi: 10.3390/children4080064.

Middle Cerebral Artery Stroke as Amusement Park Injury: Case Report and Review of the Literature.

Author information

1
School of Medicine, University of Louisville, Louisville, KY 40202 USA. albaum02@louisville.edu.
2
Department of Pediatrics, Division of Hematology/Oncology, 571 South Floyd St STE 445, Louisville, KY 40202, USA. laura.wolfe@louisville.edu.
3
Department of Neurology, Division of Pediatric Neurology, University of Louisville School of Medicine, Louisville, KY 40202, USA. vinay.puri@louisville.edu.
4
Department of Radiology, Norton Children's Hospital, Louisville, KY 40202, USA. karen.moeller@northonhealthcare.org.
5
Department of Pediatrics, Division of Hematology/Oncology, 571 South Floyd St STE 445, Louisville, KY 40202, USA. sjbert01@exchange.louisville.edu.
6
Department of Pediatrics, Division of Hematology/Oncology, 571 South Floyd St STE 445, Louisville, KY 40202, USA. ashok.raj@louisville.edu.

Abstract

Strokes as amusement park injuries are rare, but have been reported in the literature. Only about 20 cases of cerebrovascular accidents after amusement park visits have been described. We report a healthy 12-year-old boy who presented with facial droop, slurred speech, and inability to use his right arm after riding roller coasters at a local amusement park. He was evaluated and found to have a left middle cerebral artery (MCA) infarction. The patient was treated with anticoagulants and has recovered with no major residual symptoms. It is likely that his neurological symptoms occurred due to the high head accelerations experienced on the roller coasters, which are more detrimental to children due to immature cervical spine development and muscle strength. Early diagnosis of dissection and stroke results in a favorable prognosis. Providers and parents should be aware of the potential risk of roller coasters and act quickly on neurologic changes in children that have recently been to an amusement park.

KEYWORDS:

Middle cerebral artery stroke; Pediatric stroke; amusement park injury

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