Diagnosis and Management of Pediatric Arterial Ischemic Stroke

Marta Lopez-Vicente; Santiago Ortega-Gutierrez; Catherine Amlie-Lefond; Michel T Torbey

doi:10.1016/j.jstrokecerebrovasdis.2009.03.013

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Diagnosis and Management of Pediatric Arterial Ischemic Stroke

Journal article

Peer reviewed

Diagnosis and Management of Pediatric Arterial Ischemic Stroke

Marta Lopez-Vicente, Santiago Ortega-Gutierrez, Catherine Amlie-Lefond and Michel T Torbey

Journal of stroke and cerebrovascular diseases, Vol.19(3), pp.175-183

05/2010

DOI: 10.1016/j.jstrokecerebrovasdis.2009.03.013

PMID: 20434043

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Abstract

Pediatric stroke is among the top 10 causes of death in children and an important cause of chronic morbidity, with an incidence of 3.3/100,000 children/year. Risk factors associated with stroke in children include cardiac diseases, hematologic and vascular disorders, and infection. Clinical presentation varies depending on age, underlying cause, and stroke location. Antithrombotics and anticoagulants are used in the treatment of pediatric stroke; however, there are no established guidelines for the use of these agents in children. In this article we review the cause, pathophysiology, clinical presentation, diagnosis, acute management, secondary prevention, and outcome of children with stroke. The approach to patients with sickle cell disease and Moyamoya disease is also discussed. Up to date studies to determine the optimal acute treatment of childhood stroke and secondary prevention and risk factor modification are critically needed.

risk factors

moyamoya

outcome

Pediatric stroke

sickle cell disease

Details

Title: Subtitle: Diagnosis and Management of Pediatric Arterial Ischemic Stroke
Creators: Marta Lopez-Vicente - Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee
Santiago Ortega-Gutierrez - Department of Neurology, Medical College of Wisconsin, Milwaukee
Catherine Amlie-Lefond - Department of Neurology, Medical College of Wisconsin, Milwaukee
Michel T Torbey - Department of Neurology, Medical College of Wisconsin, Milwaukee
Resource Type: Journal article
Publication Details: Journal of stroke and cerebrovascular diseases, Vol.19(3), pp.175-183
DOI: 10.1016/j.jstrokecerebrovasdis.2009.03.013
PMID: 20434043
NLM abbreviation: J Stroke Cerebrovasc Dis
ISSN: 1052-3057
eISSN: 1532-8511
Publisher: Elsevier Inc
Language: English
Date published: 05/2010
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984020607802771

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