[Diagnosis and emergency treatment of stroke in children].
The sudden occurrence of a focal neurological deficit, sometimes transitory and fluctuating, must lead to a suspicion of a stroke, including in a child. The preferred examination is magnetic resonance imaging with magnetic resonance angiography in an emergency. The sequelae of stroke are common and severe. Urgent diagnosis and adapted care can help to improve morbidity-mortality. Rehabilitation starts early and must systematically screen for cognitive or language impairment. The management of a stroke in a child must be planned for in multi-disciplinary protocols established before the patient's arrival at hospital.
CHU Saint-Étienne, Hôpital Bellevue, 25 boulevard Pasteur, 42100 Saint-Étienne, France.
Gaëlle
G
Gousse
CHU Saint-Étienne, Hôpital Bellevue, 25 boulevard Pasteur, 42100 Saint-Étienne, France; Centre national de référence de l'AVC de l'enfant, Hôpital universitaire Necker-Enfants malades, AP-HP, 149 rue de Sèvres, 75743 Paris cedex 15, France.
Stéphane
S
Chabrier
Centre national de référence de l'AVC de l'enfant, Hôpital universitaire Necker-Enfants malades, AP-HP, 149 rue de Sèvres, 75743 Paris cedex 15, France; Hôpital universitaire Necker-Enfants malades, AP-HP, 149 rue de Sèvres, 75743 Paris cedex 15, France. Electronic address: manoelle.kossorotoff@aphp.fr.
Manoëlle
M
Kossorotoff
D001921:Brain / Q000473:pathology; D002648:Child; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D018810:Magnetic Resonance Angiography; D020521:Stroke / Q000175:diagnosis* / Q000628:therapy*; D017131:Thrombectomy
D005343:Fibrinolytic Agents
accident vasculaire cérébral pédiatrique; emergency diagnosis; imagerie; imaging; multi-disciplinary team; paediatric stroke; urgence diagnostique; équipe pluridisciplinaire