Acute Hospital Management of Pediatric Stroke.

Autor: Surtees TL; Department of Neurology, Washington University in St. Louis, St. Louis, MO., Pearson R; Neurology Division, Children's Hospital Orange County, Orange, CA; Department of Pediatrics, University of California, Orange, CA., Harrar DB; Department of Neurology, Children's National Medical Center, George Washington University School of Medicine, Washington, DC., Lee S; Division of Child Neurology, Department of Neurology, Stanford Stroke Center, Palo Alto, CA., Amlie-Lefond CM; Departments of Neurology and Neurological Surgery, Seattle Children's Hospital, Seattle, WA., Guilliams KP; Department of Neurology, Washington University in St. Louis, St. Louis, MO; Departments of Pediatrics and Radiology, Washington University in St. Louis, St. Louis, MO. Electronic address: kristinguilliams@wustl.edu.
Jazyk: angličtina
Zdroj: Seminars in pediatric neurology [Semin Pediatr Neurol] 2022 Oct; Vol. 43, pp. 100990. Date of Electronic Publication: 2022 Aug 19.
DOI: 10.1016/j.spen.2022.100990
Abstrakt: The field of pediatric stroke has historically been hampered by limited evidence and small patient cohorts. However the landscape of childhood stroke is rapidly changing due in part to increasing awareness of the importance of pediatric stroke and the emergence of dedicated pediatric stroke centers, care pathways, and alert systems. Acute pediatric stroke management hinges on timely diagnosis confirmed by neuroimaging, appropriate consideration of recanalization therapies, implementation of neuroprotective measures, and attention to secondary prevention. Because pediatric stroke is highly heterogenous in etiology, management strategies must be individualized. Determining a child's underlying stroke etiology is essential to appropriately tailoring hyperacute stroke management and determining best approach to secondary prevention. Herein, we review the methods of recognition, diagnosis, management, current knowledge gaps and promising research for pediatric stroke.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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