Diagnostic pitfalls in paediatric ischaemic stroke.

摘要: Diagnosing ischaemic stroke and determining its cause is difficult in children. Both are important for selection of treatment prediction outcome. This study explored the diagnostic changes that lead to a delay correct diagnosis paediatric stroke. Case histories 45 children with (31 males, 14 females; median age 6y; range 2mo-16y) were retrospectively reviewed. The initial clinical diagnosis, based on interpretation presenting symptoms, was compared final aetiological after completion review work-up. type change, consequent time until reasons change alterations management evaluated. Twenty-four identified; 19 'primary diagnosis' (symptoms initially not attributed stroke), five 'aetiological (incorrect determination or stroke). interval between 7 days (3h-2y). led therapeutic 17 patients. Risk factors childhood differ from those adults. Stroke frequently recognized as child's aetiology takes time. We recommend be evaluated centre expertize, using standardized protocols careful follow-up.