Presentation
Hemi-anopsia was the presenting symptom in 4 (57%) of the 7 patients with occipital stroke. Table 2. [ahajournals.org]
Several predictors of the delayed AIS diagnosis were identified in the present study. Efforts to target these predictors can reduce diagnostic delays and optimize the management of AIS in children. [ncbi.nlm.nih.gov]
No identifiable RFs was present in 54 (9%). [onlinelibrary.wiley.com]
Most of the patients presented with motor involvement (79%) and seizures (45%). Patients presented less frequently with consciousness impairment (15%) and headache (10%). [journals.sagepub.com]
Workup
Volpe warned that as soon as the case seems to be progressing, involves pain, or is associated with atypical disc findings, a more detailed workup is indicated, including an MRI scan and blood workup for systemic inflammation and multiple sclerosis. [aao.org]
After transfer to a children’s hospital and an exhaustive workup, the etiology of his stroke remained unclear. At four-month outpatient follow-up, the patient had only minimal left arm weakness. [westjem.com]
[…] amputation or explanation needed Limb Ataxia 0-2: absent to present in 2 limbs Sensory 0-2: normal to severe/total sensory loss Best Language 0-3: no aphasia to mute/global aphasia Labs and Imaging Imaging is of critical importance in the diagnostic workup [hawaii.edu]
MR imaging is not routinely performed as part of the workup of patients with these neoplasms because of their typical clinical appearance and superficial location. [ajronline.org]
Cardiac workup of ischemic stroke: can we improve our diagnostic yield?Stroke. 2009; 40:2893–2898. doi: 10.1161/STROKEAHA.109.551226LinkGoogle Scholar 28. [ahajournals.org]
Treatment
In their cohort, at most, four children per year underwent recanalization treatment. [reliasmedia.com]
61 Slavova N...Grunt S 30722076 2019 6 Hemorrhagic Transformation of Arterial Ischemic and Venous Stroke in Children. 61 Hutchinson ML...Beslow LA 30904397 2019 7 Mechanical thrombectomy using a Solitaire stent retriever in the treatment of pediatric [malacards.org]
Definitive evidence-based treatment for pediatric stroke awaits the development of randomized controlled trials. [ncbi.nlm.nih.gov]
Bernaud T J; Treatment of Childhood Arterial Ischemic stroke; Ann Neurol 2008;63:679â696 16. [bestbets.org]
Prognosis
Prognosis The prognosis is excellent for low grade lesions but a poorer prognosis is associated with the FS variant due to a higher risk of recurrence and metastases. Overall, the rate of mortality is low (< 3% at 10 years). [orpha.net]
Natural history, prognosis and lipid abnormalities of idiopathic ischemic childhood stroke. J Child Neurol. 1996; 11:276-282 Hemorrhagic stroke have higher mortality rates as compared to ischemic stroke. [slideshare.net]
MRI T1: low signal T2 high signal usually higher than or equal to adjacent subcutaneous fat fat saturation sequences: suppressed T1 C+ (Gd): enhances Treatment and prognosis Dermatofibrosarcoma protuberans has an excellent prognosis after complete resection [radiopaedia.org]
The general prognosis for DFSP is excellent. [sarcomahelp.org]
prognosis as excellent; DFSP are also reported to have a high recurrence rate. [ncbi.nlm.nih.gov]
Etiology
This study aimed to determine the etiology, clinical presentation, and radiologic features of neurological deficit for pediatric arterial ischemic stroke (PAIS). [ncbi.nlm.nih.gov]
ETIOLOGIES/RISK FACTORS Etiologies/risk factors in childhood stroke differ from those in adult stroke 11). [jkns.or.kr]
This review examines the epidemiology and etiologies of neonatal and childhood AIS and provides a detailed discussion of approaches to the clinical… CONTINUE READING [pdfs.semanticscholar.org]
In childhood AIS, the reported frequency of potential etiologies and risk factors vary considerably depending upon the population studied and extent of etiological investigations. [jpma.org.pk]
Epidemiology
Pediatric arterial ischemic stroke: Epidemiology, risk factors, and management. [jhu.pure.elsevier.com]
This review examines the epidemiology and etiologies of neonatal and childhood AIS and provides a detailed discussion of approaches to the clinical characterization, diagnostic evaluation, and management. [ncbi.nlm.nih.gov]
This review examines the epidemiology and etiologies of neonatal and childhood AIS and provides a detailed discussion of approaches to the clinical… CONTINUE READING [pdfs.semanticscholar.org]
Pathophysiology
It is unclear if inflammation is an aspect of the pathophysiology of stroke, or a consequence of tissue injury. [ 1 ] COMMENTARY. [pediatricneurologybriefs.com]
"Hypoxic-ischemic brain injury: pathophysiology, neuropathology and mechanisms." NeuroRehabilitation 26 (1): 5-13. Calvert, J. W. and J. H. Zhang (2005). "Pathophysiology of an hypoxic-ischemic insult during the perinatal period." [internationalbrain.org]
After an opening section on basics such as pathophysiology, radiological assessment, and pathology, comprehensive and up-to-date information is provided on each of the available therapies, techniques, and practices. [books.google.com]
Additional complicating factors include typically increased delays and increased challenge to appropriate diagnosis in children relative to adults, and underlying differences in the pathophysiology of AIS, the thrombotic cascade, and the natural history [content.iospress.com]
This article reviews the unique pathophysiologic entities affecting the pediatric population and the associated MRI findings. [researchgate.net]
Prevention
“With the consequences of childhood stroke so often devastating and lifelong, it is critical to find out as much as we can about it and develop strategies to prevent it, recognize it when it occurs and prevent further recurrence,” says Dr. Friedman. [consultqd.clevelandclinic.org]
The results of the current study could be used for planning more preventive strategies in patients suffering from the mentioned diseases. [ijpvmjournal.net]
Acute treatment of AIS in children is aimed to arrest extension of occlusive thrombosis and prevent early recurrence of stroke. Further management is directed towards prevention of longer-term stroke recurrence. [bestbets.org]
RECENT FINDINGS: Arterial ischemic stroke in children represents a significant disorder with a concerning high rate of adverse outcomes, including potentially preventable recurrent stroke. [ncbi.nlm.nih.gov]
Arterial ischemic stroke in children represents a significant disorder with a concerning high rate of adverse outcomes, including potentially preventable recurrent stroke. [journals.lww.com]