Stroke is the third cause of death and the first cause of disability in Argentina. It requires the implementation of systematized protocols that allow reducing the time of care, morbidity and mortality. Specialists from nine medical societies related to the care of patients with cerebrovascular disease participated in the consensus. A separate agenda was agreed upon in chapters and for the writing of them, work groups were formed with members of different medical specialties. The level of recommendation was discussed and agreed upon for each topic based on the best clinical evidence available for each of them. An adaptation to the local scope of the recommendations was made when it was considered necessary.

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Aim: To describe the clinical presentation, risk factors and complementary tests in patients of our paediatric emergency service with a final diagnosis of ischemic stroke. Patients and methods: Retrospective, analytical and observational study, performed in a Paediatric Emergency Service of a tertiary-level hospital.

We included patients aged 1 month to 14 years during a years period with a final diagnosis of ischemic cerebrovascular disease CVD. We analyzed personal history, symptomatology and initial complementary tests. CT was performed in all patients, except in two cases in whom MRI was performed. Conclusions: CVD is uncommon in pediatrics, but with a high morbimortality, so it is important to make an early diagnosis. Clinical and personal history are fundamental, nevertheless, we mainly deal with a previously healthy child without known risk factors at the time of the first evaluation.

Title: Enfermedad cerebrovascular de tipo isquemico posnatal en urgencias pediatricas: estudio descriptivo. Describir la presentacion clinica, los factores de riesgo y las pruebas complementarias realizadas en pacientes atendidos en urgencias con diagnostico de ictus isquemico.

Pacientes y metodos. Estudio retrospectivo, analitico observacional, realizado en urgencias pediatricas de un hospital de tercer nivel. Se analizaron los antecedentes personales, la sintomatologia y las pruebas complementarias iniciales. En todos se realizo inicialmente una tomografia axial computarizada TAC craneal, salvo en dos casos en los que se hizo una resonancia magnetica. La mitad de las TAC fueron normales al inicio.

La ECV es poco frecuente en pediatria, con elevada morbimortalidad, y es importante realizar un adecuado diagnostico precoz. Ante la sospecha clinica de ictus, una TAC craneal inicial normal no descarta una ECV y son necesarias otras pruebas, como la resonancia magnetica. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Full-text links Cite Favorites. Abstract in English , Spanish. Similar articles [Stroke in children. Experience in an emergency service]. Rev Neurol. Daverio M, et al. Acad Emerg Med. Epub Sep 6. PMID: Villora-Morcillo N, et al. PMID: Spanish. Diagnosis of Acute Ischemic Stoke. Nentwich LM. Emerg Med Clin North Am. PMID: Review. The role of imaging studies for evaluation of stroke in children. Yock-Corrales A, Barnett P.

Yock-Corrales A, et al. Pediatr Emerg Care. Show more similar articles See all similar articles. Publication types Observational Study Actions. MeSH terms Adolescent Actions. Child Actions. Child, Preschool Actions. Female Actions. Humans Actions. Infant Actions. Magnetic Resonance Imaging Actions. Male Actions. Neuroimaging Actions.

Pediatrics Actions. Retrospective Studies Actions. Risk Factors Actions. Tomography, X-Ray Computed Actions. Full-text links [x] Viguera Editores, S. Copy Download.


[Childhood Ischemic Cerebrovascular Disease in a Paediatric Emergency Service: A Descriptive Study]



[Consensus on Acute Ischemic Stroke]




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