Causes of late diagnosis of acute ischemic stroke in children. Shchederkina, I., O., Zavadenko. N., I., L., M., Koltunov, I., E., & Plavunov, N., F. Consilium Medicum, 19(9):26-30, 2017.
Causes of late diagnosis of acute ischemic stroke in children [pdf]Paper  Causes of late diagnosis of acute ischemic stroke in children [link]Website  abstract   bibtex   
The presented review of the literature analyzes modern approaches to the diagnosis of ischemic stroke (IS) in childhood, the reasons for the difficulties in the timely formulation of this diagnosis. The spectrum of pathological conditions leading to IS in childhood is very wide, which makes their verification much more difficult. In addition, IS manifests in children a variety of symptoms, which requires a wide differential-diagnostic search. "Masks" of children's IS can be represented by such conditions as migraine with aura, first arising seizures, focal intracranial lesions (swelling, demyelination), Bell's paralysis, conversion disorders. Some reasons for the late diagnosis of IS are unchanged, among them clinical and neuroradiographic features of the disease. Others can be changed by drawing the attention of clinicians and the public to the problem of pediatric stroke, explaining that a timely diagnosis, therapy started as early as possible, fast delivery of the patient to a multi-purpose hospital with a team of specialists trained in the management of pediatric stroke improves the prognosis, reducing disability and mortality.

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