CDEs
Forms
Does your child have difficulty with his/her thinking or behavior?
Please describe
Does your child need extra help with day-to-day activities compared with other children of the same age?
Since the first stroke, has your child had another Stroke or Transient Ischemic Attack (TIA) or blood clot in any other blood vessel (e.g. in the leg, lung, heart, other location) ?
Which type?
State location of blood clot
When was the recurrence (if unknown, please estimate)?
Did your child have a CT / MRI at the time of the recurrence?
Did the CT/MRI show a new stroke?
Describe the new clinical symptoms at the time of the recurrence
Other, describe
Describe how long the symptoms lasted with the most recent attack
If there was more than one episode, how many episodes occurred?
What stroke treatment was he/she on at the beginning of the episode?
Other (describe)
Does your child suffer from headaches or seizures since being discharged after the stroke(s)?
Headache
Seizures
Is he/she on a seizure medicine now?
How tall are you/is participant without shoes?
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