Ischemic stroke in paediatrics - narrative review of the literature and two cases
Autor: | Petr Suk, Andrej Mrlian, Alena Štouračová, Petr Štourač, Jan Maláska, Roman Štoudek, Martina Kosinová, Jozef Klučka, Hana Harazim, Michaela Toukalkova |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Pediatrics
medicine.medical_specialty Adolescent diagnosis medicine.medical_treatment lcsh:Medicine Physical examination Neuroimaging 030204 cardiovascular system & hematology General Biochemistry Genetics and Molecular Biology Brain Ischemia 03 medical and health sciences 0302 clinical medicine Risk Factors Medicine Humans cardiovascular diseases Child Stroke therapy Rehabilitation medicine.diagnostic_test business.industry Incidence (epidemiology) lcsh:R Clinical course Stroke Rehabilitation childhood/adolescence medicine.disease stroke 3. Good health Treatment Outcome Ischemic stroke outcome Narrative review Female business 030217 neurology & neurosurgery Magnetic Resonance Angiography |
Zdroj: | Biomedical Papers, Vol 161, Iss 1, Pp 24-30 (2017) |
ISSN: | 1804-7521 1213-8118 |
Popis: | Stroke is a rare condition in childhood with an estimated incidence of between 1.3-13/100.000 patients. Clinical manifestation and risk factors for paediatric stroke are different from those of adults. The uncommon incidence, age-associated difference and plethora of clinical symptoms make the diagnosis of such strokes extremely difficult and often delayed. The history and clinical examination should point to diseases or predisposing factors. Neuroimaging (DWI MR) is the golden standard for diagnosis of paediatric stroke and other investigations can be considered according to the clinical condition. Despite advances in paediatric stroke research and clinical care, questions remain unanswered regarding acute treatment, secondary prevention and rehabilitation. The treatment recommendations are mainly extrapolated from studies on adult populations. In the review authors summarized the clinical characteristics and diagnostic steps for stroke in children/adolescents based on the most recent international guidelines and practical directions for recognising and managing the child/adolescent with stroke in paediatric emergency. In the two case reports, we describe the clinical course in both stroke patients. |
Databáze: | OpenAIRE |
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