Teen's progress surprises and inspires stroke care team and classmates
“Right now I’m looking at you, and I can’t believe/You don’t know, oh, oh/You don’t know you’re beautiful.”
Blake Ephraim had belted out those lyrics to One Direction’s “What Makes You Beautiful” too many times for her mother to count.
But last December, when Lisa Wilcox heard her daughter quietly sing every single word of her favorite song, it was not only reassuring, it was nothing short of a miracle.
Just a month before, Blake, an active 16-year-old junior varsity cheerleader at Olathe South High School, had suffered a stroke caused by cerebral venous sinus thrombosis.
It was a diagnosis her family never expected.
Stroke doesn’t discriminate
Blake’s symptoms started on a Friday morning with an earache. She went to school, and she cheered at the football game that night.
The next evening, however, her earache had progressed into a pounding, debilitating headache. Blake was inconsolable. Her parents rushed her to the emergency room. Doctors there found bleeding on her brain and transferred her to the Advanced Comprehensive Stroke Center at The University of Kansas Health System. It’s one of the first in the nation – and the only one in region – to receive this certification from The Joint Commission.
Here, Lisa Wilcox first heard the word “stroke” to describe what had happened to her daughter.
“My first reaction was that Blake had a cheer competition in three weeks,” Lisa said. “I just couldn’t process it. Stroke isn’t something that happens to 16-year-old girls. It was overwhelming.” Expert stroke team was standing by
Expert stroke team was standing by
The Acute Stroke Response Team took the first steps to monitor Blake’s brain pressure, control the swelling and minimize the damage to her brain. Blake’s team was led by neurosurgeon Koji Ebersole, MD, and neurointensivist Kathrin Husmann, MD.
“The whole neuro ICU team – neurointensivists, specialized nurses, board-certified neurosurgeons – continuously monitor our patients,” said Dr. Husmann. “We can be at the patient’s bedside in moments to assess the situation and respond immediately. That makes a huge difference with stroke patients because time isn’t on our side.”
Because of that attention, Blake’s team quickly realized that medications and moderate measures weren’t doing enough to relieve the pressure on her brain.
Dr. Ebersole performed a decompressive craniectomy, a complex neurosurgical procedure in which part of the skull is removed to give the brain room to expand. With her brain pressure under control, the team worked on breaking up the clot.
A couple of days later, the doctors took her off the ventilator, and Blake said her first word, “Mom.”