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Pediatric stroke is a stroke that occurs in children or adolescents. Stroke affects an estimated 2.5 to 13 per 100,000 children annually. [1] The signs and symptoms of stroke in children, infants, and newborns are different from those in adults. The causes and risk factors of stroke in children are also different from those in adults. [2]
The most common presentation of cerebrovascular disease is an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. [2] Hypertension (high blood pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can change the structure of blood vessels and result in atherosclerosis . [ 5 ]
Given the disease burden of stroke, prevention is an important public health concern. [86] Primary prevention is less effective than secondary prevention (as judged by the number needed to treat to prevent one stroke per year). [86] Recent guidelines detail the evidence for primary prevention in stroke. [87]
The American Heart Association and American Stroke Association guidelines in 2015 recommended decreasing the blood pressure to a SBP of 140 mmHg. [1] However, later reviews found unclear difference between intensive and less intensive blood pressure control. [38] [39] Giving Factor VIIa within 4 hours limits the bleeding and formation of a ...
Cerebral infarction, also known as an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). [1] In mid to high income countries, a stroke is the main reason for disability among people and the 2nd cause of death. [2]
European guidelines recommend aspirin being added on as an adjunct therapy for those with medium or large vessel involvement. [6] Maintenance therapy was associated with lower deaths, lower risk of relapse, less disability and European guidelines recommend at least 2 years of maintenance therapy after induction.
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Treatment Endovascular coiling , surgical clipping , cerebral bypass surgery, pipeline embolization An intracranial aneurysm , also known as a cerebral aneurysm , is a cerebrovascular disorder characterized by a localized dilation or ballooning of a blood vessel in the brain due to a weakness in the vessel wall.