UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
*Scuola di Specializzazione in Pediatria, Universitą di Ferrara
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Key words: Ischemic stroke, Neurological deficit, Newborns
Ischemic stroke is a clinical syndrome characterised by the sudden onset of a neurological deficit that can refer to the perfusion area of a cerebral artery and by the neuroradiologic evidence of an ischemic lesion. The incidence of ischemic stroke in paediatric age, excluding the neonatal one, is 1-6/100,000 children per year. The incidence is higher in newborns (25-50/100,000 newborns) and it is even higher in premature newborns (100/100,000 newborns). Morbidity is still high, mortality ranges between 5% and 28%. Recurrence risk is about 20-30%. The goal of the this paper is to discuss, starting from the description of a case of ischemic stroke, the present evidence and recommendations on its management considering the recent NICE (The National Institute for Health and Care Excellence) guidelines that bring about some novelties.
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