Kirkham, F.J. (1994) Stroke in childhood. Current Paediatrics, 4 (4), 208-215. (doi:10.1016/S0957-5839(05)80059-4).
Abstract
Although considerable advances have been made in understanding the underlying basis for stroke in childhood, there are very few population based studies. For idiopathic ischaemic stroke, the relative importance of cerebrovascular disease, subtle cardiac anomalies and abnormalities of anticoagulation will remain controversial in the forseeable future but it is now possible to investigate the paediatric patient non-invasively and appropriate assessment off the risk factors for recurrence will aid management decisions on the use of prophylactic aspirin and warfarin. There is a case for referring urgently strokes seen within 4 h since removal of haemorrhage may be life-saving and thrombolysis can be considered for embolic stroke in centres with appropriate neurological, neurosurgical and radiological support.
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