Polish recommendations for diagnosis and therapy of paediatric stroke

Stroke remains one of the greatest health challenges worldwide, due to a high mortality rate and, despite great progress in its treatment, the significant disability that it causes. Studies conducted around the world show that the diagnosis of stroke in children is often significantly delayed. Paedi...

Full description

Saved in:
Bibliographic Details
Published in:Neurologia i neurochirurgia polska 2023-01, Vol.57 (3), p.243-260
Main Authors: Pilarska, Ewa, Kopyta, Ilona, Szurowska, Edyta, Radoń-Proskura, Julia, Irga-Jaworska, Ninela, Kozera, Grzegorz, Sabiniewicz, Robert, Emich-Widera, Ewa, Wojczal, Joanna
Format: Article
Language:English
Subjects:
Brain Ischemia - diagnosis
Brain Ischemia - epidemiology
Brain Ischemia - therapy
Child
Humans
Ischemia
Ischemic Stroke
Medical diagnosis
Neuroimaging
Pediatrics
Poland
Stroke
Stroke - diagnosis
Stroke - epidemiology
Stroke - therapy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Stroke remains one of the greatest health challenges worldwide, due to a high mortality rate and, despite great progress in its treatment, the significant disability that it causes. Studies conducted around the world show that the diagnosis of stroke in children is often significantly delayed. Paediatric ischaemic arterial stroke (PAIS) is not only a problem that varies greatly in frequency compared to the adult population, it is also completely different in terms of its risk factors, clinical course and outcome. The main reason for the lack of a rapid diagnosis of PAIS is a lack of access to neuroimaging under general anaesthesia. The insufficient knowledge regarding PAIS in society as a whole is also of great importance. Parents and carers of children should always bear in mind that paediatric age is not a factor that excludes a diagnosis of stroke. The aim of this article was to develop recommendations for the management of children with acute neurological symptoms suspected of ischaemic stroke and further treatment after confirmation of the ischaemic aetiology of the problem. These recommendations are based on current global recommendations for the management of children with stroke, but our goal was also to match them as closely as possible to the needs and technical diagnostic and therapeutic possibilities encountered in Poland. Due to the multifactorial problem of stroke in children, not only paediatric neurologists but also a neurologist, a paediatric cardiologist, a paediatric haematologist and a radiologist took part in the preparation of these recommendations.
ISSN:0028-3843
1897-4260
DOI:10.5603/PJNNS.a2023.0034