C619 Pediatric Stroke

Risk factors

  • Vascular malformation
    • AVM (isolated or associated with HHT)
    • Aneurysm
  • Hematologic abnormalities
    • Hemophilia
    • Prothrombotic. disorder
    • Sickle cell disease – m/c
  • Bacterial meningitis
  • Vasculitis
  • Head/neck trauma

Clinical features

  • Headache, vomiting
  • Seizure
  • Focal neurologic deficits
  • Altered mental status

Imaging

Head CT scan

intraparenchymal, intraventricular, or subarachnoid hyperdense fluid collection

Brain MRI

Management

Supportive (eg, antiepileptics)
Rduction of intracranial pressure (eg, elevate head of bed, surgical decompression)

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