Informace o publikaci

Ischemic stroke in paediatrics - narrative review of the literature and two cases

Autoři

KLUČKA Jozef ŠTOURAČ Petr ŠTOUDEK Roman ŤOUKÁLKOVÁ Michaela HARAZIM Hana KOSINOVÁ Martina ŠTOURAČOVÁ Alena MRLIAN Andrej SUK Petr MALÁSKA Jan

Rok publikování 2017
Druh Článek v odborném periodiku
Časopis / Zdroj Biomedical Papers, Olomouc: Palacky University
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.5507/bp.2016.053
Obor Ostatní lékařské obory
Klíčová slova stroke; childhood/adolescence; diagnosis; therapy; outcome
Popis Stroke is a rare condition in childhood with an estimated incidence of between 1.3-13/100.000 patients. Clinical manifestation and risk factors for paediatric stroke are different from those of adults. The uncommon incidence, age-associated difference and plethora of clinical symptoms make the diagnosis of such strokes extremely difficult and often delayed. The history and clinical examination should point to diseases or predisposing factors. Neuroimaging (DWI MR) is the golden standard for diagnosis of paediatric stroke and other investigations can be considered according to the clinical condition. Despite advances in paediatric stroke research and clinical care, questions remain unanswered regarding acute treatment, secondary prevention and rehabilitation. The treatment recommendations are mainly extrapolated from studies on adult populations. In the review authors summarized the clinical characteristics and diagnostic steps for stroke in children/adolescents based on the most recent international guidelines and practical directions for recognising and managing the child/adolescent with stroke in paediatric emergency. In the two case reports, we describe the clinical course in both stroke patients.