Cárdenas Javier F, Rho Jong M, Kirton Adam
Division of Pediatric Neurology, Barrow Neurological Institute, St. Joseph's Hospital & Medical Center, Phoenix, AZ 85013, USA.
Childs Nerv Syst. 2011 Sep;27(9):1375-90. doi: 10.1007/s00381-010-1366-9. Epub 2011 Feb 20.
Pediatric stroke, while increasingly recognized among practitioners as a clinically significant, albeit infrequent entity, remains challenging from the viewpoint of clinicians and researchers.
Advances in neuroimaging have revealed a higher prevalence of pediatric stroke while also provided a safer method for evaluating the child's nervous system and vasculature. An understanding of pathogenic mechanisms for pediatric stroke requires a division of ages (perinatal and childhood) and a separation of mechanism (ischemic and hemorrhagic). This article presents a review of the current literature with the recommended divisions of age and mechanism.
Guidelines for treatment, though limited, are also discussed.
小儿卒中虽在临床医生中日益被视为一种具有临床意义的疾病，尽管其并不常见，但从临床医生和研究人员的角度来看，它仍然具有挑战性。
神经影像学的进展揭示了小儿卒中的患病率更高，同时也为评估儿童的神经系统和血管系统提供了一种更安全的方法。对小儿卒中致病机制的理解需要按年龄划分（围产期和儿童期）以及按机制区分（缺血性和出血性）。本文对当前文献进行了综述，并给出了推荐的年龄和机制划分。
本文还讨论了虽有限但仍有的治疗指南。
