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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, CTRB 10th Fl
Children’s Hospital of Philadelphia
3501 Civic Ctr Blvd
Philadelphia, PA 19104-4318
Office: 215-590-4142
Fax: 215-590-5120
B.S. (Biology, Magna cum laude)
University of Hawaii , 1975.
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.
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 vascular effects of infection in pediatric stroke (VIPS-II); language and visual-spatial function in children after perinatal stroke; safety/effectiveness of constraint-induced therapy for infants following perinatal stroke.

Related research activities through collaborations locally at CHOP/Penn and nationally include: hypothermia for pediatric cardiac arrest, cerebrovascular complications of device-support for cardiac failure, novel neuromonitoring strategies in pediatric intensive care.

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. Team members include vascular neurologists (Evelyn Shih, Lauren Beslow), neonatal neurologist (Sonika Agarwal), pediatric physiatrist (Elana Katz), rehab therapists with expertise in occupational therapy (Todd Levy), physical therapy (Heather Atkinson), speech/language pathology (Amy Colin), neuropsycholgy (Lauren Krivitzky), social work (Heather Deline), nursing (Cathy Horiates) and special education (Elisa Olson). 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

Hamner T, Shih E, Ichord R, Krivitzky L: Children with perinatal stroke are at increased risk for autism spectrum disorder: Prevalence and co-occurring conditions within a clinically followed sample. The Clinical Neuropsychologist 36(5): 981-992, July 2022.

Brosius SN, Vossough A, Fisher MJ, Lang SS, Beslow LA, George BJ, Ichord R. : “Characteristics of Moyamoya Syndrome in Pediatric Patients With Neurofibromatosis Type 1.“ Pediatr Neurol. 134: 85-92, June 2022.

Shih EK, Beslow LA, Natarajan SS, Falkensammer CB, Messé SR, Ichord RN. : “Prevalence of Patent Foramen Ovale in a Cohort of Children With Cryptogenic Ischemic Stroke.” Neurology. 97(21): e2096-e2102, Nov 2021.

Lang S-S, Tucker A, Schreiber C , Storm PB, Liu H , Li Y, Ichord R, Beslow LA, Sedora-Roman N, Cox M , Nasser H , Vossough A, Fisher MJ, Kilbaugh TJ , Huh JW : Arterial Spin Labeling as an Ancillary Assessment to Post-operative Conventional Angiogram in Pediatric Moyamoya Disease. Journal of Neurosurgery:Pediatrics 29(1): 40-47, Oct 2021.

Hutchinson ML, Beslow LA, Shih EK, Licht DJ, Kimmel AC, Granath C, Ichord R : “Endovascular and thrombolytic treatment eligibility in childhood arterial ischemic stroke” Eur J Paediatric Neurology   34: 99-104, Sept 2021.

Beslow LA, Vossough A, Ichord RN, Slavova N, Yau MLY, Gajera J, Stojanovski B, Adil M, Breimann J, Kimmel A, Mackay MT: Association of Pediatric ASPECTS and NIH Stroke Scale, Hemorrhagic Transformation, and 12-Month Outcome in Children With Acute Ischemic Stroke. Neurology online, August 2021.

Kirschen MP, Smith KA, Snyder M, Zhang B, Flibotte J, Heimall L, Budzynski K, DeLeo R, Cona J, Bocage C, Hur L, Winters M, Hanna R, Mensinger JL, Huh J, Lang SS, Barg FK, Shea JA, Ichord R, Berg RA, Levine JM, Nadkarni V, Topjian A: Serial Neurologic Assessment in Pediatrics (SNAP): A New Tool for Bedside Neurologic Assessment of Critically Ill Children. Pediatr Crit Care Med 22(5): 483-495, May 2021.

Francoeur C, Welsh SS, Ichord R, Abend NS, Topjian AA, Zuppa AF. : Assessment of midazolam pharmacokinetics in the treatment of status epilepticus. Seizure 81: 310-314, Oct 2020.

Porcari GS, Jordan LC, Ichord RN, Licht DJ, Smith SE, Beslow LA : “Outcome Trajectories after Primary Perinatal Hemorrhagic Stroke” Ped Neurol 105: 41-47, Apr 2020.

Amlie-Lefond C, Gill JC, Shaw DWW, Cooper A, Wainwright M, Kirton A, Felling RJ, Abraham M, Mackay M, Dowling MM, Torres M, Rivkin MJ, Grabowski E, Lee S, Kurz J, McMillan H, Barry D, Lee-Eng J, Ichord R. : “Risk of Symptomatic Intracranial Hemorrhage Following Intravenous Tissue Plasminogen Activator for Acute Stroke is Low in Children” Stroke 51(2): 542-549, Feb 2020.

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Last updated: 08/08/2022
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