Guía multidisciplinaria de práctica clínica: diagnóstico y tratamiento de la enfermedad cerebrovascular isquémica en niños
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https://doi.org/10.47464/MetroCiencia/vol29/4/2021/16-26Palabras clave:
Enfermedad cerebro vascular, isquemia, infarto cerebral,, enfermedad cerebro vascular, isquemia, infarto cerebral, niñosResumen
La enfermedad cerebrovascular isquémica en niños tiene una fisiopatología particular: a) embolismo desde el corazón o aorta; b) enfermedad vascular; y c) hipercoagulabilidad. Al inicio los síntomas son inespecíficos o puede haber signos neurológicos de focalidad. Un inicio agudo de signos neurológicos focales debe considerarse como de origen vascular hasta no demostrar lo contrario. El diagnóstico diferencial se realiza con otras enfermedades neurológicas que pueden presentarse con signos focales y que se llaman “imitadoras”. Presentamos nuestra guía de práctica clínica de diagnóstico y tratamiento de la enfermedad cerebrovascular isquémica en niños.
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Friess S, Ichord R. Stroke and Intracerebral Hemorrhage. En: Fuhrman & Zimmerman´s Pediatric Critical Care, 4th. edition. Elsevier, Philadelphia, 2011, p. 893.
Powers WJ, Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2019; 50: e344–e418. DOI: 10.1161/STR.0000000000000211.
Rincon F, Mayer SA, Rivolta J. Impact of delayed transfer of critically ill stroke patients from the Emergency Department to the Neuro-ICU. Neurocrit Care 2010; 13: 75–81. doi: 10.1007/s12028-010-9347-0.
Elmer J, Pallin DJ, Liu S. Prolonged emergency department length of stay is not associated with worse outcomes in patients with intracerebral hemorrhage. Neurocrit Care 2012; 17: 334–342. doi:10.1007/s12028-011-9629-1.
Amlie-Lefond C. Evaluation and Acute Management of Ischemic Stroke in Infants and Children. Continuum (Minneap Minn) 2018; 24 (1, Child Neurology): 150–170.
https://www.ncbi.nlm.nih.gov/mesh/?term=hemisensory+neglect
https://www.mdcalc.com/four-full-outline-unresponsiveness-score
https://www.mdcalc.com/pediatric-nih-stroke-scale-nihss
https://www.mdcalc.com/nih-stroke-scale-score-nihss
https://www.mdcalc.com/alberta-stroke-program-early-ct-score-aspects
Gross H. Emergency Neurological Life Support: Acute Ischemic Stroke. Neurocrit Care 2015. DOI 10.1007/s12028-015-0159-0.
Endara SA, Davalos GA, Zavala AB, et al. Long-term survival in a pediatric patient with a left atrial sarcoma. Edorium J Cardiothorac Vasc Surg 2020; 7: 100018C04SE2020.
Venkatakrishna R. Emergency Neurological Life Support: Airway, Ventilation, and Sedation. Neurocrit Care 2017; 27: S4–S28. DOI 10.1007/s12028-017-0451-2.
Andrade V. Pulse oximetry curves in healthy children living at moderate altitude: a cross-sectional study from the Ecuadorian Andes. BMC Pediatrics 2020; 20: 440. DOI: 10.1186/s12887-020-02334-z.
Qureshi AI, Wilson DA, Hanley DF, et al. No evidence for an ischemic penumbra in massive experimental intracerebral hemorrhage. Neurology 1999; 52: 266–72.
Zazulia AR, Diringer MN, Videen TO, et al. Hypoperfusion without ischemia surrounding acute intracerebral hemorrhage. J Cereb Blood Flow Metab 2001; 21: 804–10.
Rivkin MJ. deVeber G, Ichord RN, et al. Thrombolysis in pediatric stroke study (TIPS). Stroke 2015; 46: 880–885.
Monagle P, Antithrombotic Therapy in Neonates and Children. Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141 (Suppl): e737S–e801S.
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Derechos de autor 2021 Francisco Espinel, Alcy Torres, Rocío Yerovi, Lennyn Albán, Germán Abdo, José Eguiguren, Carlos Barzallo, Santiago Campos-Miño
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
