Study Group Notes - Chapter 57 - Strokes in Children

 

Strokes in children depend on developmental, genetic, and environmental factors.

 

Epidemiology:

 

Neonates:

Children:

High risk subgroups:

 

Presentations:

 

Neonates:

Children:

 

 

 

 

Causes:

 

Cardiac

 

Hematologic

 

Trauma

 

Infection

 

Vascular malformations/vasculopathy/migraine

 

 

Drugs/toxins

 

Metabolic causes

 

Combination of multiple factors is common, e.g., trauma and hemophilia, heart disease and prothrombotic disorder.

 

Differential diagnosis:

 

Investigation:

 

History

Examination

Imaging

Prothrombotic evaluation

Cardiac evaluation

Other tests

 

Therapy:

 

Acute

 

Chronic

 

Other considerations

         Pregnancy should be planned, teratogenicity of warfarin and antiepileptics

         Oral contraceptives risk in prothrombotic disorders (incr peripheral and cerebral venous thrombosis)

         Hemophiliac reduce contact sports

 

Outcome: