Document Detail


Diagnosis and management of pediatric arterial ischemic stroke.
MedLine Citation:
PMID:  20434043     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Marta Lopez-Vicente; Santiago Ortega-Gutierrez; Catherine Amlie-Lefond; Michel T Torbey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  19     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-83     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, USA. martita1978@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Brain Ischemia / complications,  diagnosis,  etiology,  prevention & control,  therapy*
Child
Diagnosis, Differential
Humans
Risk Factors
Stroke / diagnosis,  etiology,  physiopathology,  prevention & control,  therapy*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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