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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Eleftheriou, Despina Ganesan, Vijeya |
| Description | Country affiliation: United kingdom Author Affiliation: Eleftheriou D ( Institute of Child Health and Great Ormond St Hospital, Department of Paediatric Rheumatology, 30 Guilford Street, WC1N 1EH, London, UK. d.eleftheriou@ich.ucl.ac.uk) |
| Abstract | BACKGROUND: Ischaemic stroke (arterial ischaemic stroke and cerebral sinovenous thrombosis) is increasingly recognised in childhood and has a significant attendant morbidity and mortality. OBJECTIVE: To review the most recent evidence underpinning treatment of childhood ischaemic stroke. METHODS: A literature search was performed through Medline and Cochrane Reviews database using search terms such as management/treatment/therapy of ischaemic stroke in children, anticoagulants, thrombolysis, aspirin for the prevention of stroke in childhood. Articles reviewed were published within the last 20 years. CONCLUSIONS: Two separate treatment guidelines for childhood ischaemic stroke have been published and are those of the Royal College of Physicians in the UK and more recently the American Heart Association Stroke Council. In addition, the American College of Chest Physicians provide guidance on the use of anticoagulants and antithrombotic therapy in childhood stroke. Supportive care and neuroprotective strategies are important considerations in children with ischaemic stroke. Antithrombotic strategies are advocated; the choice of agent varies according to the underlying risk factors. Divergence between the published guidelines highlights the lack of a firm evidence base for published recommendations. Thrombolytic treatment is not advocated. Specific pathologies may require targeted management, for example surgical revascularisation for moyamoya. Clinical trials are urgently needed to establish comprehensive evidence-based guidelines for the treatment of childhood ischaemic stroke. |
| File Format | HTM / HTML |
| ISSN | 14656566 |
| Issue Number | 17 |
| Volume Number | 9 |
| e-ISSN | 17447666 |
| Journal | Expert Opinion on Pharmacotherapy |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2008-12-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pharmacology Stroke Drug Therapy Animals Anticoagulants Therapeutic Use Brain Injuries Child Humans Microcirculation Drug Effects Platelet Aggregation Classification Pathology Prevention & Control Thrombolytic Therapy Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pharmacology Pharmacology (medical) |
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