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Pediatric Arterial Ischemic Stroke Management Spring 2020

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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?

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

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

IV tissue plasminogen activator (tPA) 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?

IV tissue plasminogen activator (tPA) Signup and view all the answers

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

Avoidance of hypotension Signup and view all the answers

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

Safety of IV tissue plasminogen activator (tPA) Signup and view all the answers

What is an arteriovenous malformation (AVM)?

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

How can an aneurysm be described?

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

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

Clotting abnormality such as hemophilia Signup and view all the answers