Preparing for a “Pediatric Stroke Alert” - 09/03/16

Doi : 10.1016/j.pediatrneurol.2015.10.012

Timothy J. Bernard, MD, MSCS ^a,^b,^⁎ , Neil R. Friedman, MBChB ^c, Nicholas V. Stence, MD ^b,^d, William Jones, MD ^e, Rebecca Ichord, MD ^f,^g, Catherine Amlie-Lefond, MD ^h, Michael M. Dowling, MD, PhD, MSCS ⁱ, Michael J. Rivkin, MD ^j,^k,^l,^m
^a Hemophilia and Thrombosis Center, University of Colorado School of Medicine, Aurora, Colorado
^b Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado
^c Center for Pediatric Neurology, Neurological Institute, Cleveland Clinic, Cleveland, Ohio
^d Department of Radiology, University of Colorado School of Medicine, Aurora, Colorado
^e Department of Neurology, University of Colorado School of Medicine, Aurora, Colorado
^f Department of Neurology, Children's Hospital of Philadelphia, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania
^g Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania
^h Seattle Children's Hospital, Department of Neurology, University of Washington, Seattle, Washington
ⁱ Division of Pediatric Neurology, Department of Pediatrics and Neurology, University of Texas Southwestern Medical Center Dallas, Dallas, Texas
^j Department of Neurology, Boston Children's Hospital, Boston, Massachusetts
^k Department of Psychiatry, Boston Children's Hospital, Boston, Massachusetts
^l Department of Radiology, Boston Children's Hospital, Boston, Massachusetts
^m Department of Neurology, Harvard Medical School, Boston, Massachusetts

^∗Communications should be addressed to: Dr. Bernard; Children's Hospital Colorado, Section of Pediatric Neurology, 13123 E 16th Ave, Aurora, CO 80045.Children's Hospital ColoradoSection of Pediatric Neurology13123 E 16th AveAuroraCO80045

Abstract

Background

Childhood arterial ischemic stroke is an important cause of morbidity and mortality in children. Hyperacute treatment strategies remain controversial and challenging, especially in the setting of increasingly proven medical and endovascular options in adults. Although national and international pediatric guidelines have given initial direction about acute therapy and management, pediatric centers have traditionally lacked the infrastructure to triage, diagnose, and treat childhood arterial ischemic stroke quickly.

Methods

In the past 10 years, researchers in the International Pediatric Stroke Study and Thrombolysis in Pediatric Stroke study have initiated early strategies for establishing pediatric specific stroke alerts.

Results

We review the rationale, process and components necessary for establishing a pediatric stroke alert.

Conclusion

Development of pediatric stroke protocols and pathways, with evidence-based acute management strategies and supportive care where possible, facilitates the evaluation, management, and treatment of an acute pediatric stroke.

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Keywords : arterial ischemic stroke, pediatric stroke centers, childhood stroke, TIPS trial

Plan

Introduction

Patient 1

Patient 2

Institutional support and partnerships

Stroke alert preparedness

Stroke alert

Imaging

Conclusion

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Vol 56

P. 18-24 - mars 2016 Retour au numéro

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Guidelines for Urgent Management of Stroke in Children
Michael J. Rivkin, Timothy J. Bernard, Michael M. Dowling, Catherine Amlie-Lefond

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Hypertension Is Associated With Increased Mortality in Children Hospitalized With Arterial Ischemic Stroke
Malik M. Adil, Lauren A. Beslow, Adnan I. Qureshi, Ahmed A. Malik, Lori C. Jordan

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Preparing for a “Pediatric Stroke Alert” - 09/03/16

Abstract

Background

Methods

Results

Conclusion

Plan

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