All the right moves

Hospital helps Madeline Mudd survive a stroke and return to skating

Last summer, Marcy Mudd received a text from her then 16-year-old daughter, Madeline. The competitive synchronized ice skater let her mom know she would practice for another hour before heading home.

Not five minutes later, Marcy got a call from the skating rink manager. Madeline had collapsed on the ice.

To watch Madeline Mudd today, you would never know she suffered a major stroke caused by a ruptured aneurysm. Yet when she arrived at The University of Kansas Health System's main campus, her condition was critical. Her brain was bleeding, and she had no bodily reflexes. Her chances of survival were slim.

“No one expected her to live through the night,” said Marcy. “And no one dreamed she’d figure skate again.”

Expert team, complex care

Madeline was life-flighted to The University of Kansas Hospital, one of the first in the nation – and the only in the region – to be an Advanced Comprehensive Stroke Center. She was rushed into surgery, where the Acute Stroke Response Team led by neurosurgeon Roukoz Chamoun, MD, and neurointensivist Abhijit Lele, MD, were ready to save her life and prevent further damage to her brain.

Dr. Chamoun clipped the aneurysm to prevent further bleeding, but Madeline’s brain continued to swell, threatening her brain stem and her life. She returned to surgery for a decompressive craniectomy.

During this procedure, the front lobes of Madeline’s skull were removed to give the young brain room to expand without being squeezed. Dr. Chamoun then sewed the pieces of skull into Madeline’s abdomen to keep the bone viable and alive until it could be moved back into place months later.

Innovative, leading-edge treatment

Madeline’s brain pressure was under control, but her fight was not over. In the hospital’s state-of-the-art neuroscience ICU, Dr. Lele discovered with the aid of a transcranial Doppler ultrasound that Madeline was experiencing vasospasms, a narrowing of blood vessels that restricts blood flow and increases the risk of stroke.

Madeline’s heart, weakened from the hemorrhage, couldn’t keep up with the demands of the high blood pressure necessary to maintain blood flow to the brain. Dr. Lele suggested a balloon pump. Guided through the femoral artery to the heart, a balloon pump has been shown to increase blood flow to the brain without adding stress to the heart. Successfully used in about two dozen adult patients worldwide, the balloon pump had not previously been used at the hospital for a pediatric vasospasm case. Madeline was the first.

Amazing recovery

The day before Madeline was released to rehabilitation, just three weeks after she collapsed on the ice, she walked around the entire ICU.

“Her recovery shows that, with aggressive medical and surgical management, patients with these hemorrhages – despite the complications they have – can hope for a good outcome,” said Dr. Lele.

Today, Madeline’s back in school, back on the ice and competing. She’s even invited her care team to watch her show this spring and skate with her afterward.

“Every nurse I encountered, every doctor, they’re just top-notch and so incredibly intelligent,” said Marcy. “They save lives. They saved Madeline’s life.

That’s what they do. I’m a believer in The University of Kansas Health System."

We visited with Madeline recently for an update on her progress. Learn what she’s doing now.