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Ischemic stroke in children: Secondary prevention

Authors
Sabrina E Smith, MD, PhD
Christine Fox, MD, MAS
Section Editors
Scott E Kasner, MD
Douglas R Nordli, Jr, MD
Deputy Editor
John F Dashe, MD, PhD

INTRODUCTION

While more common in older adults, stroke also occurs in neonates, infants, children, and young adults, resulting in significant morbidity and mortality.

An overview of the secondary prevention of arterial ischemic stroke in children one month of age or older is provided here. Other aspects of ischemic stroke in children and young adults are reviewed elsewhere. (See "Ischemic stroke in children and young adults: Etiology and clinical features" and "Ischemic stroke in children: Evaluation, initial management, and prognosis".)

Stroke in neonates is discussed separately. (See "Stroke in the newborn".)

Stroke due to cerebral venous sinus thrombosis is also reviewed elsewhere. (See "Etiology, clinical features, and diagnosis of cerebral venous thrombosis".)

SECONDARY PREVENTION

As with acute treatment, there are no controlled trials or studies examining the effectiveness of specific treatments for the secondary prevention of arterial ischemic stroke in children. Thus, the recommendations for children that follow are based mainly upon extrapolation from studies involving adults, and the clinical experience of experts, as reflected in consensus guidelines [1-4].

           

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Literature review current through: Nov 2016. | This topic last updated: Tue Jul 21 00:00:00 GMT 2015.
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References
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