Pediatric internal carotid artery dissection and stroke after minor head injury

Abstract

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Pediatric Stroke: A Review of Common Etiologies and Management Strategies

“…In adult stroke patients, abundant randomized clinical trials have produced robust evidence to support well-established guidelines for management; this is not the case in the pediatric population [66]. Standardized treatment recommendations are limited by a lack of evidence, and the latest guidelines from the 2008 American Heart Association (AHA) and American Stroke association management guidelines for children suggest intravenous anticoagulation for 3 to 6 months bridged to oral anticoagulation in patients with extracranial dissection; furthermore, treatment with anticoagulation is not recommended for intracranial dissections [56].…”

“…Further studies are needed. The AHA has also suggested that the decision to use thrombectomy in children can follow adult parameters; however, to date, no thrombectomy trials have included individuals under the age of 18 [66]. Therefore, the role of endovascular therapy and its true benefits are unclear [66].…”