Pediatric Stroke: Diagnosis and Management in the Emergency Department (Stroke CME and Pharmacology CME) | Digest
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Pediatric Stroke: Diagnosis and Management in the Emergency Department

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Points and Pearls Excerpt

  • Consider cervicocephalic arterial dissection as a cause of stroke, particularly in boys aged 6 to 10 years with a preceding trauma within the past week.
  • Infants may present with nonfocal signs such as altered mental status and seizures. Other reported findings include a full fontanelle, lethargy, vomiting, increasing head circumference, and hemiparesis.
  • Consider cerebral sinus venous thrombosis (CSVT) in patients who present with focal neurologic symptoms as well as signs and symptoms of increased intracranial pressure.
  • The most common stroke mimics include migraines, seizures, Bell palsy, conversion disorder, and syncope.
  • Neurologic symptoms of migraines commonly resolve within 30 minutes. In contrast, children with arterial ischemic stroke (AIS) present with sudden-onset focal weakness (more often than numbness), speech or language changes, ataxia, and/or seizures.

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Publication Information
Authors

Amy Buckowski, MD; Emily Rose, MD, FAAP, FAAEM, FACEP

Peer Reviewed By

Lauren A. Beslow, MD, MSCE, FAHA; Meghan Gilley, MD, FRCPC

Publication Date

November 1, 2019

  
Pub Med ID: 31647863

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Publication Information
Authors

Amy Buckowski, MD; Emily Rose, MD, FAAP, FAAEM, FACEP

Peer Reviewed By

Lauren A. Beslow, MD, MSCE, FAHA; Meghan Gilley, MD, FRCPC

Publication Date

November 1, 2019

Pub Med ID: 31647863

Get Permission

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