Abstract

BUOMPADRE, María Celeste  and  GONZALEZ RABELINO, Gabriel. Arterial ischemic stroke in childhood. Medicina (B. Aires) [online]. 2023, vol.83, suppl.4, pp.89-94. ISSN 0025-7680.

Despite advances in the identification and recogni tion of risk factors for pediatric arterial ischemic stroke, little progress has been made in hyperacute treatment. The most frequent risk factors are arteriopathies, car diopathies, and thrombophilia.

Early confirmation with neuroradiological studies is key to consider reperfusion therapies, which have limited evidence in pediatrics but a good safety profile. There is consensus on the use of anticoagulation in cardio-embolic and prothrombotic diseases, and anti platelet therapy in arteriopathies.

The future challenge is to improve coordination between prehospital services and specialized stroke centers to improve therapeutic management in the hyperacute stage and reduce morbidity and mortality.

Keywords : Stroke; Arterial ischemia; Pediatrics; Risk factors; Thrombolysis; Thrombectomy.

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