Pädiatrischer Schlaganfall – ein kinderneurologischer Notfall. Klinik, Diagnostik und Therapie

Gerstl, L.; Heinen, F.; Borggraefe, I.; Olivieri, M.; Kurnik, K.; Nicolai, T.; Reiter, K.; Berweck, S. und Schröder, A. S. (2017): Pädiatrischer Schlaganfall – ein kinderneurologischer Notfall. Klinik, Diagnostik und Therapie. In: Monatsschrift Kinderheilkunde, Bd. 165, Nr. 5: S. 408-415

Abstract

Childhood stroke is classed as an emergency with high mortality and morbidity. In association with the basic underlying aetiology, it carries a clinically significant risk of recurrence. The aetiology is multifactorial. Vasculopathies, infections, cardiac problems and coagulopathies play a considerable pathophysiological role. Clarification of aetiology should be comprehensive;childhood stroke is a "multiple risk illness". Classic symptoms include acute hemiparesis, facial palsy and speech problems, which affect about 75 % of the children. Because of the manifold partially non-specific symptoms, the wide variety of differential diagnoses and the lack of awareness of childhood stroke, diagnosis by imaging is often considerably delayed (on average by 24 h). Treatments that are possible in special cases, such as thrombolysis and mechanical thrombectomy, may be applied within the first few hours after symptom onset;these are reserved for specialised centres. The main residual symptom is hemiparesis;depending on the area affected by the infarction, epilepsy, speech problems etc. can occur. Problems with cognition and behaviour are often overlooked and underestimated in the treatment plan.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0026-9298
• Sprache: Deutsch