Acute Hospital Management of Pediatric Stroke

IF 2.4 4区医学 Q2 CLINICAL NEUROLOGY

Seminars in Pediatric Neurology Pub Date : 2022-10-01 DOI:10.1016/j.spen.2022.100990

Taryn-Leigh Surtees , Rachel Pearson , Dana B. Harrar , Sarah Lee , Catherine M. Amlie-Lefond , Kristin P. Guilliams

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引用次数: 1

Abstract

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.

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小儿中风的急性住院治疗

儿童中风领域历来受到证据有限和患者队列小的阻碍。然而，儿童中风的情况正在迅速改变，部分原因是人们对儿童中风重要性的认识不断提高，以及专门的儿童中风中心、护理途径和警报系统的出现。小儿急性脑卒中的治疗关键在于神经影像学诊断的及时、再通治疗的适当考虑、神经保护措施的实施以及对二级预防的重视。由于小儿中风在病因上是高度异质性的，治疗策略必须个体化。确定儿童潜在的卒中病因对于适当调整超急性卒中管理和确定二级预防的最佳方法至关重要。在此，我们回顾了识别方法，诊断，管理，目前的知识差距和前景研究的儿童脑卒中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Pediatric Neurology CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

4.80

自引率

0.00%

发文量

审稿时长

84 days

期刊介绍： Seminars in Pediatric Neurology is a topical journal that focuses on subjects of current importance in the field of pediatric neurology. The journal is devoted to making the status of such topics and the results of new investigations readily available to the practicing physician. Seminars in Pediatric Neurology is of special interest to pediatric neurologists, pediatric neuropathologists, behavioral pediatricians, and neurologists who treat all ages.