Imaging of Suspected Stroke in Children, From the

Autor: Luis Octavio, Tierradentro-García, Alireza, Zandifar, Natalie L, Ullman, Shyam Sunder B, Venkatakrishna, Jorge Du Ub, Kim, Robert Joseph, Martin, Cesar Augusto, Alves, Susan, Sotardi, Manus J, Donahue, Aashim, Bhatia
Rok vydání: 2022
Zdroj: AJR. American journal of roentgenology.
ISSN: 1546-3141
Popis: Pediatric stroke encompasses different causes, clinical presentations, and associated conditions across ages. Although it is relatively uncommon, pediatric stroke presents with poor short and long-term outcomes in many cases. Due to a wide range of overlapping presenting symptoms between pediatric stroke and other more common conditions, such as migraine and seizures, stroke diagnosis can be challenging or delayed in children. When combined with a comprehensive medical history and physical examination, neuroimaging plays a crucial role in diagnosing stroke and differentiating stroke mimics. This review highlights the current neuroimaging workup for diagnosing pediatric stroke in the emergency department, describing advantages and disadvantages of different imaging modalities, highlighting disorders that predispose children to infarct or hemorrhage, and presenting an overview of stroke mimics. Key differences in the initial approach to suspected stroke between children and adults are also discussed.
Databáze: OpenAIRE