Cerebral angiopathies as a cause of ischemic stroke in children: differential diagnosis and treatment options.

ABSTRACT:

Background

Ischemic stroke in children can present with an epileptic seizure or be initially asymptomatic. The median time to diagnosis is 24 hours.

Methods

This review is based on a selective literature search, with additional consideration of published guidelines and the authors' personal experience.

Results

In Europe and the USA, the combined incidence of ischemic and hemorrhagic stroke in childhood is 2.5 to 10 per 100 000 children per year. 40% of ischemic strokes in childhood occur after an infectious illness or in association with a congenital heart defect, sickle-cell anemia, or a coagulopathy. Arterial dissection and chronic, progressive cerebral arteriopathies, particularly moyamoya disease, each account for up to 10% of childhood strokes. Magnetic resonance

SUBMITTER: Steiger HJ 

PROVIDER: S-EPMC3004372 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature