Arterial ischemic stroke in non-neonate children: Diagnostic and therapeutic specificities.

Rev Neurol (Paris)

French Center for Pediatric Stroke, France; CHU d'Angers, department of physical and rehabilitation medicine, university of Angers, 49000 Angers, France.

Published: November 2020

AI Article Synopsis

  • Pediatric arterial ischemic stroke (AIS) has serious, lasting impacts on children's motor and cognitive skills, affecting their education and social lives.
  • Effective management of pediatric AIS involves recognizing symptoms early, using MRI for diagnosis, and implementing personalized treatment and rehabilitation strategies.
  • The leading cause of pediatric AIS is focal cerebral arteriopathy, and conditions like sickle cell disease require specialized screening and treatment approaches.

Article Abstract

Pediatric arterial ischemic stroke (AIS) is a severe condition, with long-lasting devastating consequences on motor and cognitive abilities, academic and social inclusion, and global life projects. Awareness about initial symptoms, implementation of pediatric stroke code protocols using MRI first and only and adapted management in the acute phase, individually tailored recanalization treatment strategies, and multidisciplinary rehabilitation programs with specific goal-centered actions are the key elements to improve pediatric AIS management and outcomes. The main cause of pediatric AIS is focal cerebral arteriopathy, a condition with unilateral focal stenosis and time-limited course requiring specific management. Sickle cell disease and moyamoya angiopathy patients need adapted screening and therapeutics.

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Source
http://dx.doi.org/10.1016/j.neurol.2019.03.005DOI Listing

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