Cerebrovascular complications in pediatric intensive care unit

被引:6
|
作者
Sachdev, Anil [1 ]
Sharma, Rachna [2 ]
Gupta, Dhiren [1 ]
机构
[1] Sir Ganga Ram Hosp, Dept Pediat, New Rajinder Nagar, New Delhi, India
[2] Dr BL Kapoor Mem Hosp, New Delhi, India
关键词
Anticoagulant therapy; cerebrovascular accident; childhood stroke; pediatric intensive care unit; stroke; thrombolytic therapy;
D O I
10.4103/0972-5229.74171
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Cerebrovascular complications are being frequently recognized in the pediatric intensive care unit in the recent few years. The epidemiology and risk factors for pediatric stroke are different from that of the adults. The incidence of ischemic stroke is almost slightly more than that of hemorrhagic stroke. The list of diagnostic causes is increasing with the availability of newer imaging modalities and laboratory tests. The diagnostic work up depends on the age of the child and the rapidity of presentation. Magnetic resonance imaging, computerized tomography and arteriography and venography are the mainstay of diagnosis and to differentiate between ischemic and hemorrhagic events. Very sophisticated molecular diagnostic tests are required in a very few patients. There are very few pediatric studies on the management of stroke. General supportive management is as important as the specific treatment. Most of the treatment guidelines and suggestions are extrapolated from the adult studies. Few guidelines are available for the use of anticoagulants and thrombolytic agents in pediatric patients. So, our objective was to review the available literature on the childhood stroke and to provide an insight into the subject for the pediatricians and critical care providers.
引用
收藏
页码:129 / 140
页数:12
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