KIDS HAVE STROKES
Evaluation or Diagnosis of Stroke in Children
|Home > Evaluation of Stroke in Children|
The most common clinical presentation of clinical stroke in childhood is acute hemiparesis.
Focal signs may be absent in neonates or young infants and seizures may be the only signs of stroke in this group.
The following is a summary of information provided at the CHASA medical conference, 2002 by John K. Lynch, DO, NINDS.There are no published consensus guidelines on the evaluation of stroke in children, but several systematic approaches have been recommended. The evaluation should include:
If the MRI and MRA reveal an infarct, with vascular distribution, then consider the following diagnostic tests:
If the MRI and MRA reveal an infarct, with non-vascular distribution, then consider the following diagnostic tests:
If the MRI and MRA reveal a hemorrhage, then consider the following diagnostic tests:
If the MRA is normal, then consider the following diagnostic tests:
Childhood Strokes: Evaluation And Management, Nov. 1998. Harry S. Abram, M.D., a pediatric Neurologist on faculty at Mayo Graduate School of Medicine
Diagnostic pitfalls in paediatric ischaemic stroke. Dec. 2006. The Netherlands.
Stroke in Childhood: Clinical guidelines for diagnosis, management and rehabilitation. Prepared by the Paediatric Stroke Working Group, Nov. 2004. Clinical Effectiveness and Evaluation Unit of the Royal College of Physicians.
Emergency department presentation of pediatric stroke. Oct. 2003. Los Angeles, CA. Calder, Kokorowski, Tran, Henderson. It is important for the emergency physician to recognize acute neurologic events in pediatric patients to minimize complications.
Diagnosis of Stroke Information about the different tests used in diagnosing a stroke.MRI Imaging Answers questions about the MRI test
General movements detect early signs of hemiplegia in term infants with neonatal cerebral infarction. April 2003. Italy. Guzzetta.
Neonatal cerebral infarction diagnosed by diffusion-weighted MRI: pseudonormalization occurs early April 2002
Magnetic resonance imaging in pediatric stroke Feb. 2002. Houston. Hunter. Magnetic resonance imaging provides a noninvasive method of investigating childhood stroke, aiding in both better diagnosis and management of this problem.Etiology of stroke in children 2000
© Copyright 1997-2007, CHASA, All Rights Reserved