DIAGNOSTICS AND TREATMENT OF ACUTE ISCHEMIC STROKE IN CHILDREN

Abstract

The article presents modern review and proper data on topical problem of strokes in children. The incidence of stroke in children is 3 cases for 100,000 children per year, 40% of them — children under 5 years old. More then a half of children have stable motor and cognitive disorders, in 20% of them experience repeated strokes. There are many etiological factors of the disease; the main ones are pro thrombotic state of hemostasis, disorders of vessels, infections and traumas. Diagnostics of a stroke includes magneticresonance imaging and angiography, several laboratory tests and detection of the level of homocysteine. The tables describe basis and neuroprotection treatment in acute period of ischemic stroke. Authors give special attention to the stroke as an interdisciplinary problem treated by resuscitation specialists, pediatricians, neurologists, infectious diseases specialist and hematologists.Key words: children, stroke, thrombophilia, disorder of vessels, dissection, actovegin.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2011; 10 (4): 70–77)