Skip to main content

Stroke, Pediatric

Melissa G. Chung, MD and Warren D. Lo, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • A CNS insult that causes objective evidence (clinical, radiographic, or pathologic) of damage in a vascular territory and clinical symptoms lasting <24 hours

  • A stroke can be ischem...

DIAGNOSIS

HISTORY

  • Timing and progression of symptoms, including last known time when patient was normal

  • Analysis of risk factors/etiology: inquire about

    • History of trauma

    • Recent medication/drug use

    • Cardiac...

TREATMENT

ALERT
  • For children with sickle cell disease and acute AIS, exchange transfusion is the treatment of choice so urgent early hematology consultation is needed.

  • Early neurosurgical evaluation is ...

ONGOING CARE

  • Initiate rehabilitation (physical, occupational, speech therapies) early.

  • For patients with significant acute neurologic deficits, consider discharge to inpatient rehabilitation.

  • Consider c...

ADDITIONAL READING

  • Beslow LA, Licht DJ, Smith SE, et al. Predictors of outcome in childhood intracerebral hemorrhage: a prospective consecutive cohort study. Stroke.  2010;41(2):313–318. [View Ab...

CODES

ICD9

  • 434.91 Cerebral artery occlusion, unspecified with cerebral infarction

  • 434.01 Cerebral thrombosis with cerebral infarction

  • 431.00000 Intracerebral hemorrhage

  • 434.11 Cerebral embolism with cereb...

FAQ

  • Q: Will my child have another stroke?

  • A: Overall risk of recurrent AIS is about 10–12%, depending on the cause of the stroke. Children with focal arterial stenosis, HgbSS, and uncorrectable congeni...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×