Article

Stroke in children is not rare. Although there are no randomized trials on
childhood stroke, except in sickle cell disease patients, several international
guidelines have described quality criteria for stroke management in children.
Age-adapted management is required, involving collaboration with a pediatric
neurologist and hospitalization in a pediatric intensive care or continuous care
unit. All symptomatic treatments used in adults can be recommended in children,
including homeostasis assessment and maintenance or blood exchange in sickle cell
disease patients. Specific treatments such as thrombolysis or mechanical
thrombectomy are not recommended in children, except in the framework of clinical
trials, but can be beneficial in adolescents. Multidisciplinary decision-making
should be the rule in such situations. Adolescents may be managed in adult stroke
units. Indications for surgery in children are adapted from adult guidelines.
Appropriate management of cerebral venous thrombosis in children is similar to
that in adults. The best management possible can be achieved through a
multidisciplinary dialogue between the pediatric neurologist and the adult
intensivist or neurologist.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS