Pediatric Arterial Ischemic Stroke Management Spring 2020
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Questions and Answers

What is the frequency of pediatric arterial ischemic stroke (AIS) per year?

  • 5 to 6/100,000 children per year
  • 15 to 18/100,000 children per year
  • 10 to 12/100,000 children per year
  • 2 to 3/100,000 children per year (correct)

    • Why is it challenging to diagnose arterial ischemic stroke (AIS) in children?

  • It has an acute and dramatic clinical presentation
  • It has a subtle clinical presentation and a wide differential diagnosis (correct)
  • It has a limited number of possible differential diagnoses
  • It has a clear and specific clinical presentation

    • How do the risk factors for pediatric AIS differ from those in adults?

  • They are similar to the risk factors in adults
  • They are frequently multiple, age-dependent, and distinct from those in adults (correct)
  • They are not clearly understood in pediatric cases
  • They are less complex and age-independent compared to adults

    • Why is the burden of pediatric AIS considered longer lasting compared to adult stroke survivors?

    <p>Because a child who survives AIS is expected to live much longer than an adult stroke survivor</p> Signup and view all the answers

    What is the standard of care in adults with acute AIS?

    <p>IV tissue plasminogen activator (tPA)</p> Signup and view all the answers

    Which therapy is currently not recommended for childhood AIS as per the American College of Chest Physicians and the AHA guidelines?

    <p>IV tissue plasminogen activator (tPA)</p> Signup and view all the answers

    What is a simple measure for pediatric AIS as mentioned in the text?

    <p>Avoidance of hypotension</p> Signup and view all the answers

    What has not been established in children with AIS according to the text?

    <p>Safety of IV tissue plasminogen activator (tPA)</p> Signup and view all the answers

    What is an arteriovenous malformation (AVM)?

    <p>An abnormal group of tangled blood vessels that can burst and bleed into the brain</p> Signup and view all the answers

    How can an aneurysm be described?

    <p>A condition where blood vessels weaken and burst, causing bleeding into the brain</p> Signup and view all the answers

    What is a possible cause of hemorrhagic stroke in children and teenagers?

    <p>Clotting abnormality such as hemophilia</p> Signup and view all the answers

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