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Published on: January 18, 2018
Imaging in children presenting with acute neurological deficit: stroke
Darshana D Rasalkar1, Winnie C W Chu
1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China.
Insights
Pediatric neurological deficits, though rare, require prompt imaging diagnosis. This review details imaging findings for stroke, infection, inflammation, metabolic disorders, neoplasms, and poisoning in children.
Area of Science:
- Pediatric Neurology
- Neuroradiology
- Medical Imaging
Background:
- Neurological deficits in children are uncommon but critical, necessitating rapid and accurate diagnosis.
- Imaging plays a pivotal role in diagnosing pediatric neurological deficits and differentiating stroke from stroke mimics.
- A comprehensive pictorial review of pediatric neurological deficit imaging is lacking.
Observation:
- This series reviews the causes and imaging appearances of neurological deficits in childhood.
- The review categorizes deficits into stroke, infection, inflammation, metabolic disorders, cerebral neoplasms, and drug poisoning.
- Specific imaging findings for various pediatric stroke types, including arterial ischemic stroke, sino-venous stroke, hemorrhagic stroke, and hypoxic-ischemic encephalopathy, are discussed.
Findings:
- The study provides a systematic overview of imaging findings for diverse pediatric neurological conditions.
- It highlights key imaging features differentiating various causes of neurological deficits in children.
- The review emphasizes the importance of recognizing specific imaging patterns for accurate diagnosis and management.
Implications:
- This resource aids clinicians in diagnosing and managing pediatric neurological deficits using imaging.
- It serves as a valuable reference for radiologists and neurologists specializing in pediatric care.
- Improved diagnostic accuracy through imaging can lead to timely interventions and better patient outcomes in pediatric neurology.
Abstract:
Neurological deficits in the paediatric age group are much rarer than in adults; however, it is an urgent condition that relies heavily on imaging for a prompt accurate diagnosis. Neurological deficits caused by cerebrovascular diseases are defined as stroke, whereas conditions manifesting with neurological deficits without underlying cerebrovascular diseases are referred to as stroke mimics. To the best of the authors' knowledge, there is a lack of systematic pictorial review that collectively describes the imaging of neurological deficit in children. The purpose of the present series is to discuss the causes and imaging appearance of neurological deficits in childhood, based on the experience of a tertiary paediatric referral centre These are broadly categorised into stroke, infection, inflammation, metabolic disorder, cerebral neoplasms and drug poisoning. Different entities of stroke and their respective imaging findings are discussed. Paediatric stroke can further be divided into arterial ischaemic stroke, sino-venous stroke, haemorrhagic stroke and hypoxic-ischaemic encephalopathy.
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