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Ischemic stroke in children: Secondary prevention

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


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".)


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: Mar 2017. | This topic last updated: Jul 21, 2015.
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