[Challenges and advances in paediatric arterial ischaemic stroke]

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Julie Brix Bindslev1, Thomas Truelsen, Mette Gyhrs

  • 1jbbindslev@gmail.com.

Ugeskrift for Laeger
|June 14, 2021
PubMed

Insights

Pediatric arterial ischemic stroke affects over half of children, often with delayed diagnosis. Implementing a systematic pathway can improve recognition and treatment for better outcomes in childhood stroke.

Area of Science:

  • Pediatric Neurology
  • Neurovascular Diseases
  • Stroke Medicine

Background:

  • Neurological sequelae affect over 50% of children diagnosed with arterial ischemic stroke (AIS).
  • Current diagnostic timelines for pediatric stroke frequently exceed 24 hours, delaying critical interventions.
  • Access to hyperacute recanalisation therapies remains limited in the pediatric population.

Purpose of the Study:

  • To review clinical presentations, risk factors, and treatment strategies for pediatric ischemic stroke.
  • To present the experience and outcomes of a systematic pediatric stroke pathway implemented in Eastern Denmark since 2017.

Main Methods:

  • Systematic review of clinical presentations, risk factors, and treatments for pediatric ischemic stroke.
  • Description of a implemented systematic pediatric stroke pathway in Eastern Denmark.

Main Results:

  • Neurological sequelae are prevalent in over 50% of pediatric AIS cases.
  • Diagnostic delays are common, exceeding 24 hours in many instances.
  • The implemented pathway aims to expedite recognition and treatment.

Conclusions:

  • Early recognition and prompt treatment are crucial for improving outcomes in pediatric stroke.
  • Systematic pathways are essential for optimizing the management of childhood arterial ischemic stroke.
  • The Danish pathway demonstrates a structured approach to enhancing pediatric stroke care.

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