Stroke alarm-Arterial ischemic stroke as one of the most time-critical emergencies in children and adolescents

被引:0
|
作者
Gerstl, Lucia [1 ]
Olivieri, M. [2 ,3 ]
Heinen, F. [1 ]
Bidlingmaier, C. [2 ]
Schroeder, A. S. [1 ]
Reiter, K. [3 ]
Hoffmann, F. [3 ]
Kurnik, K. [2 ]
Liebig, T. [4 ]
Trumm, C. G. [4 ]
Haas, N. A. [5 ]
Jakob, A. [5 ]
Borggraefe, I [1 ]
机构
[1] LMU Klinikum MOnchen, Abt Padiatr Neurol Entwicklungsneurol & Sozialpad, LMU Zentrum Entwicklung & Komplex Chron Kranke Ki, Kinderklin & Kinderpoliklin Dr Haunerschen Kinder, Campus Innenstadt,Lindwurmstr 4, D-80337 Munich, Germany
[2] LMU Klinikum Munchen, Abt Padiatr Hamostaseol, Kinderklin & Kinderpoliklin Dr Haunerschen Kinder, Campus Innenstadt, Munich, Germany
[3] LMU Klinikum MUnchen, Abt Kinderintensivmed & Notfallmed, Kinderklin & Kinderpoliklin Dr Haunerschen Kinder, Campus Innenstadt, Munich, Germany
[4] LMU Klinikum MOnchen, Inst Diagnost & Intervent Neuroradiol, Campus Grosshadern, Munich, Germany
[5] LMU Klinikum Munchen, Abt Kinderkardiol & Padiatr Intensivmed, Campus Grosshadern, Munich, Germany
来源
NERVENARZT | 2022年 / 93卷 / 02期
关键词
Etiology; Diagnostics; Clinical presentation; Secondary prophylaxis; Recurrence risk; TRANSIENT CEREBRAL ARTERIOPATHY; RISK-FACTORS; POSTVARICELLA ARTERIOPATHY; BRAIN ATTACKS; CHILDHOOD; METAANALYSIS; GUIDELINES; MANAGEMENT; INFECTION; FEATURES;
D O I
10.1007/s00115-021-01252-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Arterial ischemic stroke in childhood and adolescence is one of the most time-critical emergencies in pediatrics. Nevertheless, it is often diagnosed with a considerable time delay which may be associated with low awareness, the sometimes nonspecific clinical presentation with a wide variety of differential diagnoses, and less established 'acute care structures'. The revascularisation strategies in adult stroke care are also potential and promising treatment options for children, even if available evidence is still limited. In the post-acute phase, the etiological work-up is complex due to the multitude of risk factors to be considered. But it is essential to identify each child's individual risk profile as it determines secondary prevention, risk of recurrence and outcome. Long-term care in a multiprofessional, interdisciplinary team must take into account the bio-psycho-social aspects to integrate the child into its social and educational, and later professional environment.
引用
收藏
页码:158 / 166
页数:9
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