Cerebrovascular disease and stroke
Cerebrovascular disease and stroke
Stroke and cerebrovascular disorders are important causes of morbidity and mortality in children; they are already amongst the top 10 causes of childhood death and are probably increasing in prevalence. Acute treatment of stroke syndromes in adults is now evidence based. However, paediatric stroke syndromes are far less common and the differential diagnosis is very wide, but the individual health resource implications are much greater because of the life-long treatment costs in survivors. Recognition and consultation with a paediatric neurologist should be rapid so that children can benefit from regional services with emergency neurological, neuroradiological and neurosurgical intervention and paediatric intensive care. This review focuses on the epidemiology, presentation, differential diagnosis, generic/specific emergency management and prognosis of acute stroke in children. Its aim is to educate and guide management by general paediatricians and to emphasise the importance of local guidelines for the initial investigation and treatment and appropriate transfer of these children.
890-898
Pappachan, J.
f5322de3-0d81-4ab6-9526-d291d88c335b
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
22 September 2008
Pappachan, J.
f5322de3-0d81-4ab6-9526-d291d88c335b
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Pappachan, J. and Kirkham, F.J.
(2008)
Cerebrovascular disease and stroke.
Archives of Disease in Childhood, 93 (10), .
(doi:10.1136/adc.2008.142836).
Abstract
Stroke and cerebrovascular disorders are important causes of morbidity and mortality in children; they are already amongst the top 10 causes of childhood death and are probably increasing in prevalence. Acute treatment of stroke syndromes in adults is now evidence based. However, paediatric stroke syndromes are far less common and the differential diagnosis is very wide, but the individual health resource implications are much greater because of the life-long treatment costs in survivors. Recognition and consultation with a paediatric neurologist should be rapid so that children can benefit from regional services with emergency neurological, neuroradiological and neurosurgical intervention and paediatric intensive care. This review focuses on the epidemiology, presentation, differential diagnosis, generic/specific emergency management and prognosis of acute stroke in children. Its aim is to educate and guide management by general paediatricians and to emphasise the importance of local guidelines for the initial investigation and treatment and appropriate transfer of these children.
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890.full
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Accepted/In Press date: 21 April 2008
e-pub ahead of print date: 30 June 2008
Published date: 22 September 2008
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Local EPrints ID: 70219
URI: http://eprints.soton.ac.uk/id/eprint/70219
ISSN: 0003-9888
PURE UUID: 5fb02b30-c868-43a6-9e3c-5220171b2d45
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Date deposited: 04 Mar 2010
Last modified: 14 Mar 2024 02:45
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Author:
J. Pappachan
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