Child Neurology Scientific Club, Department of Child Neurology, Medical University of Warsaw.
Department of Child Neurology, Medical University of Warsaw, Poland.
Neurol Neurochir Pol. 2020;54(2):116-124. doi: 10.5603/PJNNS.a2020.0010. Epub 2020 Jan 27.
Stroke, increasingly recognised in children in recent years, is an important cause of long-term morbidity and disability. It can be classified by the stroke type as either arterial ischaemic stroke (AIS), haemorrhagic stroke (HS), or cerebral sinovenous thrombosis (CSVT). Furthermore, perinatal and childhood stroke can be distinguished. A wide range of conditions associated with paediatric stroke has been identified, which differ significantly from those in adults. A paediatric stroke can also present with a variety of symptoms and signs, both specific and non-specific. Because of the diversity of the underlying risk factors, limited awareness among the medical community, and therefore insufficient recognition of paediatric stroke symptoms, diagnosis can be difficult and is often delayed. This limits access to acute interventions. The goal of this paper was to examine the current guidelines for the diagnosis and treatment of paediatric stroke.
近年来，人们越来越多地认识到儿童中风是导致长期残疾和失能的一个重要原因。它可以根据中风类型分为动脉缺血性中风（AIS）、出血性中风（HS）或脑静脉窦血栓形成（CSVT）。此外，还可以区分围产期和儿童期中风。已经确定了与儿科中风相关的广泛病症，这些病症与成人有很大不同。儿科中风也可能出现多种症状和体征，既有特异性的，也有非特异性的。由于潜在风险因素的多样性、医学界意识有限，因此对儿科中风症状的认识不足，导致诊断困难，且常常延误。这限制了对急性干预的获得。本文的目的是检查儿科中风诊断和治疗的现行指南。
