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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 14, No. 3, 2010, pp. 129-140
Bioline Code: cm10027
Full paper language: English
Document type: Review Article
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 14, No. 3, 2010, pp. 129-140

 en Cerebrovascular complications in pediatric intensive care unit
Sachdev, Anil; Sharma, Rachna & Gupta, Dhiren

Abstract

Cerebrovascular complications are being frequently recognized in the pediatric intensive care unit in the recent few years. The epidemiology and risk factors for pediatric stroke are different from that of the adults. The incidence of ischemic stroke is almost slightly more than that of hemorrhagic stroke. The list of diagnostic causes is increasing with the availability of newer imaging modalities and laboratory tests. The diagnostic work up depends on the age of the child and the rapidity of presentation. Magnetic resonance imaging, computerized tomography and arteriography and venography are the mainstay of diagnosis and to differentiate between ischemic and hemorrhagic events. Very sophisticated molecular diagnostic tests are required in a very few patients. There are very few pediatric studies on the management of stroke. General supportive management is as important as the specific treatment. Most of the treatment guidelines and suggestions are extrapolated from the adult studies. Few guidelines are available for the use of anticoagulants and thrombolytic agents in pediatric patients. So, our objective was to review the available literature on the childhood stroke and to provide an insight into the subject for the pediatricians and critical care providers.

Keywords
Anticoagulant therapy, cerebrovascular accident, childhood stroke, pediatric intensive care unit, stroke, thrombolytic therapy

 
© Copyright 2010 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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