Brobeck Brad R, Grant P Ellen
Massachusetts General Hospital, Boston, MA 02114, USA.
Neuroimaging Clin N Am. 2005 Aug;15(3):589-607, xi. doi: 10.1016/j.nic.2005.08.013.
Arterial ischemic stroke and sinovenous thrombosis are a significant yet under-recognized causes of mortality and morbidity in the pediatric population. With increasingly complex etiologies yet urgency for rapid diagnosis and treatment, pediatric stroke teams likely will become the standard of care. A common terminology must be developed to avoid confusing types of acute cerebral insults--such as focal arterial ischemic stroke and global hypoxia and ischemia--that have different causes and pathophysiologic mechanisms of injury. Increased awareness of unique pediatric stroke subtypes, their clinical presentation, and their imaging findings will facilitate early identification and development of optimal treatment strategies.
动脉缺血性卒中与静脉窦血栓形成是儿童群体中导致死亡和发病的重要但未得到充分认识的原因。随着病因日益复杂，且快速诊断和治疗的紧迫性增加，儿科卒中团队可能会成为标准的治疗模式。必须制定通用术语，以避免混淆具有不同病因和损伤病理生理机制的急性脑损伤类型，如局灶性动脉缺血性卒中和全脑缺氧缺血。提高对独特的儿科卒中亚型、其临床表现及其影像学表现的认识，将有助于早期识别并制定最佳治疗策略。
