Michael Rivkin, MD
Co-Director, Stroke and Cerebrovascular Center; Director, Developmental Neuroimaging Laboratory; Neurologist, Department of Neurology
Professor of Neurology, Harvard Medical School
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Michael Rivkin, MD
Co-Director, Stroke and Cerebrovascular Center; Director, Developmental Neuroimaging Laboratory; Neurologist, Department of Neurology
Professor of Neurology, Harvard Medical School
Medical Services
Languages
English
Education
Medical School
University of Virginia School of Medicine
1984
Charlottesville
VA
Internship
Rainbow Babies and Children's Hospital
1985
Cleveland
OH
Residency
Pediatrics
Rainbow Babies and Children's Hospital
1988
Cleveland
OH
Residency
Pediatric Neurology
New England Medical Center
1992
Boston
MA
Fellowship
Boston Children's Hospital
1993
Boston
MA
Media
Caregiver Profile
Meet Dr. Michael Rivkin
Certifications
American Board of Psychiatry and Neurology (Child and Adolescent Neurology)
Professional History
I am both a pediatrician and a child neurologist, and my practice specializes in children with cerebrovascular disorders and stroke. I completed residencies in pediatrics and pediatric neurology, followed by a fellowship in neurology at Boston Children's Hospital -- broad training that allows me to treat the whole child.
I founded and direct the Stroke and Cerebrovascular Center at Boston Children's Hospital. This program, novel at its inception at Boston Children’s Hospital, brings together care for these children from clinicians in the disciplines of neurology, hematology, psychiatry, neuropsychology, neuroradiology, neurosurgery, interventional neuroradiology, occupational therapy and physical therapy. In addition, we instituted a fellowship to accompany this new program, which is designed to train pediatric neurologists to evaluate and care for children who have stroke and cerebrovascular disorders.
We are excited to have created Boston Children's Hospital's acute response team for pediatric stroke known as the "Stroke Stat" system. This important service is available 24 hours a day, seven days a week to assess and treat children who present with symptoms of acute stroke at Boston Children’s Hospital. This system of evaluation is designed to assess these patients rapidly in order to determine if they can be treated with tissue plasminogen activator or intravascular treatments that have greatest efficacy when instituted early and accurately.
I also established and direct the Neurology Intermediate Care Unit, the only one of its kind. My service provides neurological consultations to patients in affiliated intensive care units, including the NICU and the cardiology ICU. Additionally, I am an attending physician for in-patient general neurology, intensive care neurology and neurologist of the week services. I am experienced in the management of increased cranial pressure, cerebral perfusion and neuroprotection.
Dr. Rivkin serves as an expert for the Department of Neurology for Boston Children's Hospital Precision Medicine Service. For more information about the Precision Medicine Service please visit bostonchildrens.org/precisionmed.
Approach to Care
I grew up wanting to help people in a tangible way. My family has a strong tradition of volunteering to help those in need through our synagogue, a value that was instilled in me from a young age.
My approach to care is based on that compassion. I try to think very hard about what I would do if a patient were my own child. As early as medical school, it was already clear to me that I wanted to treat children. The opportunity to contribute to the health and development of children was extremely appealing and interesting to me, and providing care to children and their families is satisfying and enjoyable.
I completed my residency in general pediatrics before deciding to specialize in neurology. I became fascinated by stroke and cerebrovascular disorders, and found the amount we have yet to learn about the brain inspiring. Consequently, I feel that these are exciting times to practice and to perform research in the field of child neurology and in pediatric stroke and cerebrovascular disorders, specifically.
When I started down my path to become a doctor, I had no idea I would wind up doing so much research. But I have been surprised by the fascination the research has held for me, and conducting research on brain development has become an integral part of my approach to care.
My approach to care is based on that compassion. I try to think very hard about what I would do if a patient were my own child. As early as medical school, it was already clear to me that I wanted to treat children. The opportunity to contribute to the health and development of children was extremely appealing and interesting to me, and providing care to children and their families is satisfying and enjoyable.
I completed my residency in general pediatrics before deciding to specialize in neurology. I became fascinated by stroke and cerebrovascular disorders, and found the amount we have yet to learn about the brain inspiring. Consequently, I feel that these are exciting times to practice and to perform research in the field of child neurology and in pediatric stroke and cerebrovascular disorders, specifically.
When I started down my path to become a doctor, I had no idea I would wind up doing so much research. But I have been surprised by the fascination the research has held for me, and conducting research on brain development has become an integral part of my approach to care.
Publications
Design and rationale of "Antecedents and correlates of well-being in young adults with congenital heart disease in the Boston Circulatory Arrest Study (BCAS-Adult)". View Abstract
Tenecteplase for the Treatment of Pediatric Arterial Ischemic Stroke: A Safety Surveillance Report. View Abstract
Development and Validation of a Postprocedure Stroke Screening Tool in Children With Cardiac Disease. View Abstract
Risk Factors for Perinatal Arterial Ischemic Stroke: A Machine Learning Approach. View Abstract
Autism Spectrum Disorder in Children With Perinatal Ischemic Stroke Varies by Stroke Type. View Abstract
Thrombotic complications in children with Coronavirus disease 2019 and Multisystem Inflammatory Syndrome of Childhood. View Abstract
The development of the pediatric stroke neuroimaging platform (PEDSNIP). View Abstract
Development and Validation of a Prediction Model for Perinatal Arterial Ischemic Stroke in Term Neonates. View Abstract
Safety of Prolonged Inhalation of Hydrogen Gas in Air in Healthy Adults. View Abstract
Child Neurology: Recurrent Brainstem Strokes and Aphthous Ulcers in a Child With Mutations in the ADA2 Gene. View Abstract
Abnormal Right-Hemispheric Sulcal Patterns Correlate with Executive Function in Adolescents with Tetralogy of Fallot. View Abstract
Modeling severe functional impairment or death following ECPR in pediatric cardiac patients: Planning for an interventional trial. View Abstract
EEG features of brain injury during extracorporeal membrane oxygenation in children. View Abstract
Spectrum of cerebral arteriopathies in children with arterial ischemic stroke. View Abstract
ACR Appropriateness Criteria® Cerebrovascular Disease-Child. View Abstract
Predicting Recovery and Outcome after Pediatric Stroke: Results from the International Pediatric Stroke Study. View Abstract
Prevalence of Symptoms of Anxiety, Depression, and Post-traumatic Stress Disorder in Parents and Children Following Pediatric Stroke. View Abstract
Abnormal Left-Hemispheric Sulcal Patterns Correlate with Neurodevelopmental Outcomes in Subjects with Single Ventricular Congenital Heart Disease. View Abstract
Risk of Intracranial Hemorrhage Following Intravenous tPA (Tissue-Type Plasminogen Activator) for Acute Stroke Is Low in Children. View Abstract
Serial vessel wall MR imaging of pediatric tuberculous vasculitis. View Abstract
A Stroke Alert Protocol Decreases the Time to Diagnosis of Brain Attack Symptoms in a Pediatric Emergency Department. View Abstract
Survey of practice patterns and preparedness for endovascular therapy in acute pediatric stroke. View Abstract
Stroke After Cardiac Catheterization in Children. View Abstract
Characteristics and Outcome in Children With Craniectomy Following Acute Ischemic Stroke in the International Pediatric Stroke Study. View Abstract
Arterial Ischemic Stroke Secondary to Cardiac Disease in Neonates and Children. View Abstract
Pediatric CNS-isolated hemophagocytic lymphohistiocytosis. View Abstract
Ascending Aorta Size at Birth Predicts White Matter Microstructure in Adolescents Who Underwent Fontan Palliation. View Abstract
Disrupted N-linked glycosylation as a disease mechanism in deficiency of ADA2. View Abstract
Altered White Matter Microstructure Correlates with IQ and Processing Speed in Children and Adolescents Post-Fontan. View Abstract
Diffusion-Weighted Imaging Changes in a Child With Posterior Ischemic Optic Neuropathy. View Abstract
Whole Exome Sequencing Reveals a Monogenic Cause of Disease in ˜43% of 35 Families With Midaortic Syndrome. View Abstract
Transient regional cerebral hypoperfusion during a paroxysmal hemiplegic event in GLUT1 deficiency syndrome. View Abstract
Placental Pathology in Neonatal Stroke: A Retrospective Case-Control Study. View Abstract
Graph theory analysis of cortical thickness networks in adolescents with d-transposition of the great arteries. View Abstract
Moyamoya Disease in Children: Results From the International Pediatric Stroke Study. View Abstract
Workup for Perinatal Stroke Does Not Predict Recurrence. View Abstract
Transient Focal Neurologic Symptoms Correspond to Regional Cerebral Hypoperfusion by MRI: A Stroke Mimic in Children. View Abstract
Psychiatric Disorders and Function in Adolescents with Tetralogy of Fallot. View Abstract
Reduced cortical volume and thickness and their relationship to medical and operative features in post-Fontan children and adolescents. View Abstract
Psychiatric Disorders in Adolescents With Single Ventricle Congenital Heart Disease. View Abstract
O-003 The Brain as Extraintestinal IBD Manifestation: Are Brain and Cognitive Differences in Pediatric Crohn's Disease Associated with Immune Gene Expression? View Abstract
Pathways for Neuroimaging of Neonatal Stroke. View Abstract
Pathways for Neuroimaging of Childhood Stroke. View Abstract
White Matter Volume Predicts Language Development in Congenital Heart Disease. View Abstract
Stroke in Neonates and Children. View Abstract
Stroke in Acquired and Congenital Heart Disease Patients and Its Relationship to Hospital Mortality and Lasting Neurologic Deficits. View Abstract
Early-Term Birth in Single-Ventricle Congenital Heart Disease After the Fontan Procedure: Neurodevelopmental and Psychiatric Outcomes. View Abstract
Corrigendum to 'Guidelines for Urgent Management of Stroke in Children' [Pediatric Neurology 56 (2016) 8-17]. View Abstract
Epilepsy as the 'echo' of acute stroke in children. View Abstract
Organizational topology of brain and its relationship to ADHD in adolescents with d-transposition of the great arteries. View Abstract
Arterial Spin Labeling Perfusion Magnetic Resonance Imaging Performed in Acute Perinatal Stroke Reveals Hyperperfusion Associated With Ischemic Injury. View Abstract
O-018 New Evidence for Structural Brain Differences in Pediatric Crohn's Disease: Impact of Underlying Disease Factors. View Abstract
Guidelines for Urgent Management of Stroke in Children. View Abstract
Fatal Central Nervous System Disease Following First Infliximab Infusion in a Child With Inflammatory Bowel Disease. View Abstract
Neuropsychological Status and Structural Brain Imaging in Adolescents With Single Ventricle Who Underwent the Fontan Procedure. View Abstract
Preparing for a "Pediatric Stroke Alert". View Abstract
The Way Forward: Challenges and Opportunities in Pediatric Stroke. View Abstract
Predictors of Stroke After Transient Ischemic Attack in Children. View Abstract
Altered Gray Matter in Adolescents with d-Transposition of the Great Arteries. View Abstract
Infection, vaccination, and childhood arterial ischemic stroke: Results of the VIPS study. View Abstract
The diffusion tensor imaging (DTI) component of the NIH MRI study of normal brain development (PedsDTI). View Abstract
Reversible vasoconstriction syndrome involving the basilar artery in an adolescent: imaging and clinical features. View Abstract
Relationship of white matter network topology and cognitive outcome in adolescents with d-transposition of the great arteries. View Abstract
Thrombolysis in pediatric stroke study. View Abstract
White matter microstructure and cognition in adolescents with congenital heart disease. View Abstract
Perinatal arterial ischemic stroke: presentation, risk factors, evaluation, and outcome. View Abstract
Psychiatric disorders and function in adolescents with d-transposition of the great arteries. View Abstract
Emergence of the primary pediatric stroke center: impact of the thrombolysis in pediatric stroke trial. View Abstract
Adolescents with tetralogy of Fallot: neuropsychological assessment and structural brain imaging. View Abstract
Adolescents with D-transposition of the great arteries repaired in early infancy demonstrate reduced white matter microstructure associated with clinical risk factors. View Abstract
Intrapartum temperature elevation, epidural use, and adverse outcome in term infants. View Abstract
Symptomatic neonatal arterial ischemic stroke: the International Pediatric Stroke Study. View Abstract
Adolescents with d-transposition of the great arteries corrected with the arterial switch procedure: neuropsychological assessment and structural brain imaging. View Abstract
Intracranial artery dissection in an adolescent with Marfan syndrome. View Abstract
Postnatal-onset microcephaly: pathogenesis, patterns of growth, and prediction of outcome. View Abstract
Developmental fMRI study of episodic verbal memory encoding in children. View Abstract
16p11.2-related paroxysmal kinesigenic dyskinesia and dopa-responsive parkinsonism in a child. View Abstract
T(2) relaxometry of normal pediatric brain development. View Abstract
Volumetric MRI study of brain in children with intrauterine exposure to cocaine, alcohol, tobacco, and marijuana. View Abstract
Changes in cerebral cortex of children treated for medulloblastoma. View Abstract
The NIH MRI study of normal brain development (Objective-2): newborns, infants, toddlers, and preschoolers. View Abstract
Regional brain development in serial magnetic resonance imaging of low-risk preterm infants. View Abstract
Complementary aspects of diffusion imaging and fMRI; I: structure and function. View Abstract
X-linked creatine transporter defect: a report on two unrelated boys with a severe clinical phenotype. View Abstract
Everyday cognitive function after craniopharyngioma in childhood. View Abstract
Prolonged T*2 values in newborn versus adult brain: Implications for fMRI studies of newborns. View Abstract
Early experience alters brain function and structure. View Abstract
Biochemical and molecular analyses of infantile free sialic acid storage disease in North American children. View Abstract
Opening the window into brain development in children more widely with magnetic resonance imaging. View Abstract
A functional magnetic resonance imaging study of paced finger tapping in children. View Abstract
Practice parameter: neuroimaging of the neonate: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. View Abstract
Biexponential apparent diffusion coefficient parametrization in adult vs newborn brain. View Abstract
Fos-related antigen 2: potential mediator of the transcriptional activation in rat adrenal medulla evoked by repeated immobilization stress. View Abstract
Developmental neuroimaging of children using magnetic resonance techniques. View Abstract
MR line-scan diffusion-weighted imaging of term neonates with perinatal brain ischemia. View Abstract
Mitochondrial neurogastrointestinal encephalomyopathy: diagnosis by rectal biopsy. View Abstract
Hypoxic-ischemic brain injury in the term newborn. Neuropathology, clinical aspects, and neuroimaging. View Abstract
Glucocorticoids elevate GTP cyclohydrolase I mRNA levels in vivo and in PC12 cells. View Abstract
Strokes in children. View Abstract
A syndrome of multiorgan hyperplasia with features of gigantism, tumorigenesis, and female sterility in p27(Kip1)-deficient mice. View Abstract
Oligodendroglial development in human fetal cerebrum. View Abstract
Identification of an antisense transcript from the IGF-II locus in mouse. View Abstract
Hypoxic-ischemic brain injury in the newborn. View Abstract
A search for X-chromosome uniparental disomy and DNA rearrangements in the Rett syndrome. View Abstract
Neonatal idiopathic cerebral venous thrombosis: an unrecognized cause of transient seizures or lethargy. View Abstract
Carotid dissection presenting as posterior ischemic optic neuropathy. View Abstract
Generalized seizures in an infant due to environmentally acquired cocaine. View Abstract
Pulmonary infections in the immunocompromised child. View Abstract
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