Delayed recognition of childhood arterial ischemic stroke

• DOI: 10.1111/ped.13966
• Publication Date: 2019-07-11T22:09:33Z
• Authors: Ikumi Hori; Takeshi Tsuji; Misa Miyake; Kazuto Ueda; Erina Kataoka; Michio Suzuki; Satoru Kobayashi; Hirokazu Kurahashi; Yoshiyuki Takahashi; Akihisa Okumura; Tetsushi Yoshikawa; Shinji Saitoh; Jun Natsume
• Keywords: Stroke; Paresis

Abstract Background Few population‐based surveys of childhood arterial ischemic stroke ( AIS ) have been conducted in Asian countries. The aim this study was to investigate the clinical features, time diagnosis, and prognosis a cohort Japan. Methods Children aged 29 days–15 years 11 months old, residing Aichi Prefecture Japan with radiologically confirmed during 2010–2014, were identified retrospectively through questionnaires. We analyzed 40 children (23 boys, 17 girls; median age, 7 3 months), collected interval information 26 patients. from onset first physician assessment diagnosis calculated. Results most common presentation paralysis or paresis 27 patients (71%). No underlying disorders possible trigger factors 14 (35%). symptom 2.9 h. 27.0 made 6 h after symptoms 27% for whom available. Radiological took longer than 24 54% these Conclusions Long in‐hospital delays exist children, likely due lack awareness by doctors. Further efforts increase public are needed ensure early treatment.