Authors: Barbara Buccilli
Editor's Choice
Journal of the Neurological Sciences. REVIEW ARTICLE| VOLUME 467, 123325, December 15, 2024
DOI: https://doi.org/10.1016/j.jns.2024.123276
Highlights
- Pediatric stroke needs further studying, especially hemorrhagic stroke
- Early diagnosis is a fundamental step in improving stroke outcome in children
- Rehabilitation and neuroplasticity play an important role in stroke recovery in children
- Multidisciplinary approaches are needed in pediatric stroke
- Children are not small adults and need different approaches
This review provides a comprehensive overview of the characteristics and diagnosis of pediatric stroke, emphasizing the importance of early recognition and accurate assessment. Pediatric stroke is a complex condition with diverse etiologies, and its timely diagnosis is critical for initiating appropriate interventions and improving clinical outcomes.
Recent advances in neuroimaging techniques, including magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), have significantly enhanced the diagnostic capabilities for pediatric stroke. Additionally, a better understanding of its underlying etiologies in specific cases, and of the importance of differential diagnosis have improved the outcome and prevention strategies in this vulnerable population. Despite these improvements, though, research still has a long way to go to optimize the management of this condition.
Timely and accurate diagnosis of pediatric stroke remains a challenge due to its rarity and variability in clinical presentation, and to the presence of many mimic conditions. The integration of clinical evaluation, neuroimaging, and comorbidities analysis is crucial for achieving a precise diagnosis and guiding tailored treatment strategies for affected children.
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