Advances in childhood arterial ischemic stroke / 国际儿科学杂志

ABSTRACT

A wide range of underlying systemic factors have been reported in the setting of childhood stroke. Emerging research demonstrates that non-atherosclerotic intracerebral arteriopathies are the main risk factors. Minor infections may play a role in arteriopathies. Nonspecific presentation and doctor' s lacking awareness of pediatric stroke both contribute to initial misdiagnoses that result in delays in management. Acute management of children with stroke is primarily supportive including control of fever, blood pressure normalization to accepted age ranges, normalization of glucose, and maintenance of normal oxygenation, but there is no golden standard therapy at home and abroad. For secondary stroke prevention, the majority of children are treated with adult stroke therapeutic schedule. The prognosis of childhood stroke is not satisfactory. Many of these children are left with permanent neurologic deficits including injury of motor, sensory and cognitive defect and epilepsy.