Key result
Neuroimaging plus clinical evaluation distinguishes pediatric stroke from mimics in the emergency department.
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Review details emergency neuroimaging strategies and mimics for suspected pediatric stroke, highlighting key differences from adult protocols to improve diagnostic accuracy.
Pediatric stroke encompasses different causes, clinical presentations, and associated conditions across ages. Although it is relatively uncommon, pediatric stroke presents with poor short- and long-term outcomes in many cases. Because of a wide range of overlapping presenting symptoms between pediatric stroke and other more common conditions, such as migraine and seizures, stroke diagnosis can be challenging or delayed in children. When combined with a comprehensive medical history and physical examination, neuroimaging plays a crucial role in diagnosing stroke and differentiating stroke mimics. This review highlights the current neuroimaging workup for diagnosing pediatric stroke in the emergency department, describes advantages and disadvantages of different imaging modalities, highlights disorders that predispose children to infarct or hemorrhage, and presents an overview of stroke mimics. Key differences in the initial approach to suspected stroke between children and adults are also discussed.
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Tierradentro‐García et al. (2022) conducted a review in Suspected pediatric stroke. Neuroimaging workup was evaluated. Neuroimaging combined with clinical evaluation is crucial for diagnosing pediatric stroke in the emergency department and differentiating it from stroke mimics.
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