TY - CHAP M1 - Book, Section TI - Childhood Stroke A1 - Taylor, J. Michael A2 - Hershey, Andrew D. Y1 - 2023 N1 - T2 - CURRENT Diagnosis & Treatment Pediatric Neurology AB - Stroke is a rare cause of childhood morbidity and mortality. Vascular emergencies result from disruption of the arterial supply or venous return leading to energy failure and cell death. Acute development of a focal neurologic deficit is the hallmark of clinical presentation, although age and comorbid clinical findings may obscure the diagnosis. Children have higher rates of acute seizures and headaches complicating stroke presentation. The risk factors promoting ischemia and hemorrhage vary in the fetus, neonate, child, and adolescent, making the diagnostic workup challenging and broad in these diseases. Evidence supporting hyperacute treatment of vascular emergencies in children remains incomplete, with uncertainties about the safety and implementation of strategies used in adults with similar pathology. Throughout this disease, the affected child requires expertise from child neurologists familiar with stroke management and the resulting complications of developmental delay, cerebral palsy, epilepsy, cognitive difficulties, and neurobehavioral symptoms. SN - PB - McGraw Hill Education CY - New York, NY Y2 - 2024/04/19 UR - neurology.mhmedical.com/content.aspx?aid=1195237616 ER -