Pediatric acute stroke alert in Nantes and Angers hospitals: description of patients included and comparison with published data - 16/12/25
, Sophie Gueden b, Didier Loisel c, Pauline de Cambourg d, Patrick Van Bogaert eAbstract |
Objective |
This study aimed to describe data of patients included in the in-hospital pediatric stroke alert and compare it to published data.
Methods |
This bicentric retrospective study includes all children aged one month to 18 years who underwent an MRI (magnetic resonance imaging) for an acute neurological deficit according to the stroke alert protocol established at Nantes and Angers University Hospitals between January 2017 and July 2021. Demographic characteristics, time from stroke onset to imaging, diagnosis, treatments if any, and outcomes were collected.
Results |
Seventy-eight children were included. The stroke alert procedure led to early stroke detection in 16 children (21%). Four of them received acute recanalization therapy. Other diagnoses needing specific management were identified in 12% of cases. Migraine was the most common diagnosis, affecting more than half of the patients.
Conclusions |
This stroke alert protocol allowed children presenting with acute neurological deficit to have rapid access to brain MRI, which confirmed the diagnosis of stroke or other acute neurological disorder necessitating specific management in one-third of the cases.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke, Children, Emergency, Cerebral MRI, Time to diagnosis, Thrombolysis, Thrombectomy, Early management
Plan
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