ArticleCurrent treatment options in neurology2015
Emergency management of ischemic stroke in children.
Article in Current treatment options in neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 28 citations in OpenAlex.
- [Arterial ischemic stroke in childhood and adolescence : Time-critical emergency in pediatrics].Der Nervenarzt · 2022Article
- [Stroke alarm-Arterial ischemic stroke as one of the most time-critical emergencies in children and adolescents].Der Nervenarzt · 2022Review
- Clinical Perspective on Primary Angiitis of the Central Nervous System in Childhood (cPACNS).Frontiers in pediatrics · 2020Review
- Intelligent Evaluation System of Government Emergency Management Based on BP Neural Network.IEEE access : practical innovations, open solutions · 2020Article
- Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community.Frontiers in pediatrics · 2018Article
- [Childhood stroke : What are the special features of childhood stroke?]Der Nervenarzt · 2017Review
- CNS vasculitis and stroke as a complication of DOCK8 deficiency: a case report.BMC neurology · 2016Article
- Epileptic Seizure, Postictal Hemiparesis, and Hyperleukocytosis.Global pediatric health · 2016Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
opinion statementChildren who present with acute neurological symptoms suggestive of a stroke need immediate clinical assessment and urgent neuroimaging to confirm diagnosis. Magnetic resonance imaging (MRI) is the investigation of first choice due to limited sensitivity of computed tomography (CT) for detection of ischaemia. Acute monitoring should include monitoring of blood pressure and body temperature, and neurological observations. Surveillance in a paediatric high dependency or intensive care unit and neurosurgical consultation are mandatory in children with large infarcts at risk of developing malignant oedema or haemorrhagic transformation. Thrombolysis and/or endovascular treatment, whilst not currently approved for use in children, may be considered when stroke diagnosis is confirmed within 4.5 to 6 h, provided there are no contraindications on standard adult criteria. Standard treatment consists of aspirin, but anticoagulation therapy is frequently prescribed in stroke due to cardiac disease and extracranial dissection. Steroids and immunosuppression have a definite place in children with proven vasculitis, but their role in focal arteriopathies is less clear. Decompressive craniotomy should be considered in children with deteriorating consciousness or signs of raised intracranial pressure.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.