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Stroke Research and Treatment
Volume 2011 (2011), Article ID 736965, 8 pages
http://dx.doi.org/10.4061/2011/736965
Review Article

Ischemic Stroke in Infants and Children: Practical Management in Emergency

Department of Clinical and Experimental Medicine-Pediatrics, University of Ferrara, 44121 Ferrara, Italy

Received 23 September 2010; Revised 27 April 2011; Accepted 2 May 2011

Academic Editor: Halvor Naess

Copyright © 2011 Sara Ciccone et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Stroke is a rare disease in children, with an estimated incidence 13/100000 and a significant impact on morbidity and mortality. Clinical presentation and risk factors, present in almost half of pediatric patients, are not the same as in adults. The diagnosis of stroke in children is often delayed because signs and symptoms can be subtle and nonspecific. History and clinical examination should exclude underlying diseases or predisposing factors. Neuroimaging is crucial in defining diagnosis. Other tests might be necessary, according to the clinical picture. We present here the most recent practical directions on how to diagnose and manage arterial stroke in children, according to different international guidelines on the subject.