Stroke and Cerebrovascular Center

If you suspect that a child in your care may be experiencing acute onset of a stroke and would like our help with assessment or treatment, call the Boston Children's Hospital Communications Center at 617-355-2170 (or toll free at 866-771-KIDS). The Stroke and Cerebrovascular Center team is available 24 hours a day, seven days a week.

A “Stroke Stat” call activates our stroke team to evaluate children with acute stroke, especially those who are still within 4.5 hours of documented onset of symptoms. We encourage rapid transfer of patients to Boston Children’s Emergency Department, where patients will be evaluated to see if they quality for thrombolytic treatment with tPA. We can arrange transport through the Boston Children’s Critical Care Transport Program or by Boston MedFlight.

Signs of strokes in infants and children can be subtle. We recommend rapid referral to a pediatric stroke center if a child has sudden onset of any of these symptoms:

• Weakness on one side of the body
• Loss of vision
• Ataxia or difficulty maintaining gait stability
• Expressive or receptive language function
• Loss of sensation on one side of the body
• New, unexplained seizure, especially if followed by post-ictal lateralized weakness
• Sudden alteration of consciousness

For non-urgent referrals, please call us at 617-355-2758.

The Stroke and Cerebrovascular Center invites applications from child neurologists interested in dedicated training in pediatric stroke and cerebrovascular disorders. The fellowship program comprises a year of clinical training in pediatric stroke and cerebrovascular disorders, with an option for an additional year organized around a clinical research project with limited continuing clinical responsibility. The selected candidate will have appointments as a clinical fellow in neurology at Boston Children's Hospital and Harvard Medical School.

Responsibilities include:

• Providing direct patient care for all consults and in-patient admissions related to pediatric stroke
• Serving as a consult for all medical subspecialties at the hospital, including the medical-surgical, cardiac, and neonatal intensive care units at Boston Children’s, and the neonatal intensive care units at the adjacent Brigham and Women’s Hospital and Beth Israel Deaconess Medical Center
• Participating at weekly outpatient clinics
• Serving as night-call for urgent matters

Applicants should be fully trained in child neurology by the time they begin the program. Competence in English is required.

Interested applicants should write with inquiry and CV to:

Michael J. Rivkin, MD
Boston Children's Hospital
Department of Neurology
300 Longwood Ave., Pavilion 154
Boston, MA 02115
michael.rivkin@childrens.harvard.edu