Initial Diagnostic Evaluation of the Child With Suspected Arterial Ischemic Stroke

Matias Negrotto; Prakash Muthusami; Bruce A Wasserman; Sarah Lee; Jeremy J Heit; Ronil V Chandra; Ferdinand Hui; Todd A Abruzzo

doi:10.1097/RMR.0000000000000276

Initial Diagnostic Evaluation of the Child With Suspected Arterial Ischemic Stroke

Top Magn Reson Imaging. 2021 Oct 1;30(5):211-223. doi: 10.1097/RMR.0000000000000276.

Authors

Matias Negrotto¹, Prakash Muthusami², Bruce A Wasserman³, Sarah Lee⁴, Jeremy J Heit^{4

5}, Ronil V Chandra⁶, Ferdinand Hui³, Todd A Abruzzo^{7

8

9}

Affiliations

¹ Hospital Maciel, Montevideo, Uruguay.
² The Hospital for Sick Children, Toronto, Ontario, Canada.
³ Johns Hopkins University Medical Center, Baltimore, MD.
⁴ Department of Neurology and Neurological Sciences, Stanford University Medical Center, Stanford, CA.
⁵ Departments of Radiology and Neurosurgery, Stanford University Medical Center, Stanford, CA.
⁶ Monash University Medical Center, Monash University, Melbourne, Australia.
⁷ Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ.
⁸ University of Arizona School of Medicine, Phoenix, AZ.
⁹ Mayo Clinic College of Medicine, Phoenix, AZ.

PMID: 34613944
DOI: 10.1097/RMR.0000000000000276

Abstract

Numerous factors make the initial diagnostic evaluation of children with suspected arterial ischemic stroke (AIS) a relatively unsettling challenge, even for the experienced stroke specialist. The low frequency of pediatric AIS, diversity of unique age-oriented stroke phenotypes, and unconventional approaches required for diagnosis and treatment all contribute difficulty to the process. This review aims to outline important features that differentiate pediatric AIS from adult AIS and provide practical strategies that will assist the stroke specialist with diagnostic decision making in the initial phase of care.

Publication types

Review

MeSH terms

Brain Ischemia* / diagnosis
Child
Humans
Ischemic Stroke*
Stroke* / diagnostic imaging