Department of Neurology

Department of Neurology
faculty photo

Rebecca N. Ichord, MD

Professor of Neurology at the Children's Hospital of Philadelphia
Attending Neurologist, The Children's Hospital of Philadelphia
Director, Pediatric Stroke Fellowship Program, The Children's Hospital of Philadelphia
Director, Pediatric Stroke Program , The Children's Hospital of Philadelphia
Section Chief, ICU Neurology Consultation Service, The Children's Hospital of Philadelphia
Department: Neurology

Contact information
Dept. of Neurology
Children’s Hospital of Philadelphia
3400 Civic Center Blvd., 6th Floor
Philadelphia, PA 19104-4318
Office: 215-590-4142
Fax: 215-590-5120
Education:
B.S. (Biology, Magna cum laude)
University of Hawaii , 1975.
MD
George Washington University School of Medicine (with distinction), 1979.
Post-Graduate Training
Resident & Chief Resident in Pediatrics, Children’s National Medical Center, Washington, D.C. , 1979-1983.
Clinical Fellow in Developmental Pediatrics, J.F.Kennedy Institute, Johns Hopkins Hospital, Baltimore, Md. , 1983-1985.
Resident and Chief Resident in Child Neurology, Johns Hopkins Medical Institutions, Baltimore, Md. , 1988-1991.
Certifications
American Board of Pediatrics, 1984.
American Board of Psychiatry and Neurology, with expertise in Child Neurology, 1992.
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Description of Research Expertise

Clinical research is focused primarily on stroke in childhood, including arterial ischemic stroke, intracranial hemorrhage, cerebral venous thrombosis, and related cerebral vascular disorders. Current active research activities include an NIH-funded multicenter cohort study to evaluate safety/dose-finding for thrombolysis in pediatric stroke (TIPS); vascular effects of infection in pediatric stroke (VIPS); inflammatory coagulation markers in pediatric stroke; neurological manifestations of cerebral ischemic injury in sickle cell anemia (SITT and SWiTCH trials); a two-center cohort study of outcome predictors in childhood spontaneous intracranial hemorrhage; and a pilot study of treadmill training therapy in children recovering from stroke.

Related research activities through collaborations locally at CHOP/Penn and nationally include: hypothermia for pediatric cardiac arrest, and mechanisms of secondary injury in traumatic brain injury in children.

Description of Clinical Expertise

Childhood Stroke & acute brain injury due to cardiac arrest and traumatic brain injury. Primary clinical focus is stroke. As director of the CHOP Stroke Program, I oversee operation of clinical stroke care programs through a 24/7 rapid response neurovascular consultation service and multidisciplinary out-patient stroke follow-up clinic. The Stroke Program team includes expert care in neonatal stroke and cognitive effects of stroke by Dr. Lori Billinghurst, and effects of congenital heart disease on developing brain by Dr. Daniel Licht. Training elements include bedside & didactic teaching activities for physician and nursing staff within CHOP, and community outreach via a CME program for primary ED & pediatric practitioners. A pediatric stroke fellowship was established in July 2008.

Selected Publications

Bernard TJ, Beslow LA, Manco-Johnson MJ, Armstrong-Wells J, Boada R, Weitzenkamp D, Hollatz A, Poisson S, Amlie-Lefond C, Lo W, deVeber G, Goldenberg NA, Dowling MM, Roach S, Fullerton H, Benseler SM, Jordan LC, Kirton A, Ichord RN : Inter-rater reliability of the CASCADE criteria: challenges in classifying arteriopathies. Stroke 2016 Notes: in press.

Williams RP, Banwell B, Berg RA, Dlugos DJ, Donnelly M, Ichord R, Kessler SK, Lavelle J, Massey SL, Hewlett J, Parker A, Topjian A, Abend NS : Impact of an ICU EEG Monitoring Pathway on Timeliness of Therapeutic Intervention and Electrographic Seizure Termination. Epilepsia in press 2016 Notes: in press.

Kirschen MP, Dori Y, Licht DJ, Ichord R, Arastoo Vossough A : Cerebral lipiodol embolism in a child following lymphatic embolization for plastic bronchitis. J Pediatrics in press 2016.

Kirton A, Williams E, Dowling M, Ichord R for the PedNIHSS Investigators: Diffusion imaging of cerebral diaschisis in childhood arterial ischemic stroke. Int J Stroke 2016 Notes: in press.

Hawks C, Jordan LC, Gindville M, Ichord RN, Licht DJ, Beslow LA : Educational Placement after Pediatric Intracerebral Hemorrhage. Pediatric Neurology in press 2016.

Smith DM, Vossough A, Vorona GA, Beslow LA, Ichord RN, Licht DJ : Pediatric cavernous sinus thrombosis: A case series and review of the literature. Neurology 85(9): 763-9, Sept 2015.

Topjian AA, Fry M, Jawad AF, Herman ST, Nadkarni VM, Ichord R, Berg RA, Dlugos DJ, Abend NS: Detection of Electrographic Seizures by Critical Care Providers Using Color Density Spectral Array After Cardiac Arrest is Feasbile. Pediatr Crit Care Med. (eds.). 16(5): 461-7, Jun 2015.

Nabavizadeh SA, Vossough A, Ichord RN, Kwaitkowski J, Pukenas BA, Smith MJ, Storm PB, Zager EL, Hurst RW: Intracranial Aneurysms in Sickle-Cell Anemia: Clinical and Imaging Findings. J NeuroInterventional Surg March 2015.

Sultan SM, Beslow LA, Vossough A, Elkind MS, Kasner SE, Mirsky DM, Licht DJ, Ichord RN: Predictive validity of severity grading for cerebral steno-occlusive arteriopathy in recurrent childhood ischemic stroke. Int J Stroke 10(2): 213-8, Feb 2015 Notes: Epub 2014 Aug 8.

Baird Lissa C, Smith Edward R, Ichord Rebecca, Piccoli David A, Bernard Timothy J, Spinner Nancy B, Scott R Michael, Kamath Binita M: Moyamoya Syndrome Associated with Alagille Syndrome: Outcome after Surgical Revascularization. The Journal of pediatrics 166(2): 470-3, Feb 2015.

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Last updated: 07/13/2016
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