Document Type: Case Report

Authors

1 Department of Emergency Medicine, Medipol University Hospital, Istanbul, Turkey

2 Department of Emergency Medicine, Manisa State Hospital, Manisa, Turkey

3 Department of Emergency Medicine, Bitlis State Hospital, Bitlis, Turkey

Abstract

Arterial ischemic stroke (AIS) in adults is considered a serious health threat and requires urgent medical treatment. Prompt diagnosis allows the therapeutic option of thrombolysis within the time window of 3 to 6 hours after first symptoms. Alternatively, early anti-platelet therapy is effective in improving the outcome after stroke. The incidence of pediatric AIS range from 2 to 5 per 100 000 children/year. Pediatric AIS has severity and long-term outcomes similar to those in young adults. Two-thirds of children sustaining AIS have neurological deficits that may result in life-long disability, thus critically impacting their potential development. On the other hand 10%-30% of the causes of acute strokes are of unknown reasons, therefore careful structural, metabolic and genetic risk factors, requiring more specific treatment, should also be considered in any cases of stroke in children. The diagnosis and treatment should be conducted on the basis of a multidisciplinary approach, including pediatric cardiology, hematology, neurology, neurosurgery and neuroradiology.

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Main Subjects

  1. Wardlaw JM, Murray V, Berge E, Del Zoppo GJ. Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev 2009;4:CD000213. doi: 10.1002/14651858.CD000213.pub2.
  2. Sandercock PA, Counsell C, Gubitz GJ, Tseng MC. Antiplatelet therapy for acute ischaemic stroke. Cochrane Database Sys Rev 2008;3:CD000029. doi: 10.1002/14651858. CD000029.pub2.
  3. Steinlin M, Pfister I, Pavlovic J, Everts R, Boltshauser E, Capone Mori A, et al. The first three years of the Swiss Neuropaediatric Stroke Registry (SNPSR): a population-based study of incidence, symptoms, risk factors and short term outcome. Neuropediatrics 2005; 36(2): 90-7.
  4. Bigi S, Fischer U, Wehrli E, Mattle HP, Boltshauser E, Bürki S, et al. Acute ischemic stroke in children versus young adults. Ann Neurol 2011; 70(2): 245-54. doi: 10.1002/ ana.22427.
  5. deVeber GA, MacGregor D, Curtis R, Mayank S. Neurologic outcome in survivors of childhood arterial ischemic stroke and sinovenous thrombosis. J Child Neurol 2000; 15(5): 316-24.
  6. Amlie-Lefond C, Sébire G, Fullerton HJ. Recent development in childhood arterial ischemic stroke. Lancet Neurol 2008; 7(5): 425-35. doi: 10.1016/S1474-4422(08)70086-3.
  7. Marzabadi LR, Shams Vahdati S, Alavi S. Two and a half year old girl with ischemic stroke due to trauma (Lollipop syndrome). Journal of Academic Emergency Medicine 2012; 11(4): 238-40. doi: 10.5152/jaem.2011.068.