Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management

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Authors

KLUČKA Jozef KLABUSAYOVÁ Eva MUSILOVÁ Tereza KRAMPLOVÁ Tereza SKŘÍŠOVSKÁ Tamara KRATOCHVÍL Milan KOSINOVÁ Martina HORÁK Ondřej OŠLEJŠKOVÁ Hana JABANDŽIEV Petr ŠTOURAČ Petr

Year of publication 2021
Type Article in Periodical
Magazine / Source Children-Basel
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.mdpi.com/2227-9067/8/8/649
Doi http://dx.doi.org/10.3390/children8080649
Keywords ischemic stroke; pediatric; child; management; initial approach
Description Acute Ischemic Stroke (AIS) in children is an acute neurologic emergency associated with significant morbidity and mortality. Although the incidence of AIS in pediatric patients is considerably lower than in adults, the overall cumulative negative impact of the quality of life could be even higher in children. The age-related variable clinical presentation could result in a delay in diagnosis and could negatively influence the overall outcome. The early management should be based on early recognition, acute transfer to pediatric AIS centre, standardised approach (ABCDE), early neurologic examination together with neuroimaging (preferable Magnetic Resonance Imaging-MRI). The treatment is based on supportive therapy (normoxemia, normocapnia, normotension and normoglycemia) in combination with intravenous/intraarterial thrombolytic therapy and/or mechanical thrombectomy in selected cases. Pediatric stroke centres, together with the implementation of local stroke management protocols, could further improve the outcome of pediatric patients with AIS.
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