Även barn och ungdomar kan drabbas av stroke. Tidig diagnos kan ge bättre prognos. Nya riktlinjer för utredning och terapi
Engelsk titel: Also children and adolescents can suffer from stroke. Early diagnosis can improve prognosis. New guidelines for diagnosis and therapy
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Författare:
Christerson, Sten
Email: sten.christerson@telia.com
Språk: Swe
Antal referenser: 51
Dokumenttyp:
Översikt
UI-nummer: 13107046
Sammanfattning
Childhood stroke is an uncommon but serious condition with mortality of 8–20 % and residual impairments in 50–85 % of survivors. It is important to »think stroke« when a child or teenager presents acutely with new neurological deficit, seizures or lowered consciousness. Early consultation with an experienced radiologist, neurosurgeon and neurointerventionist is important in a childhood stroke case. The aetiology of stroke in children is very different from the adults’ and dominated by heart diseases, acute infections, vasculitis, coagulopathies, chronic diseases and several syndromes. A broad investigation of risk factors should therefore be made. Current treatment is not yet evidence-based but consensus recommendations are available. A review of aetiologies, investigations and recommended treatments so far is presented. New Swedish guidelines are presented. With an earlier diagnosis a more active approach is possible and recommended.