Section 29. Disorders of the Nervous System >
Part 3. Acute Deterioration of Neurologic Function >
Chapter 552. Stroke and Cerebrovascular DiseaseMichael J. Rivkin
Topics Discussed: cerebrovascular accident; cerebrovascular accident in children; cerebrovascular accident in young adults; cerebrovascular disorders; ischemic stroke; neurology; pediatric neurology.
Sections: Treatment of Stroke, References.
Excerpt:"Clinical suspicion of stroke in a patient with suggestive symptoms constitutes
the most salient element of diagnosis. Despite presentation of focal
symptoms including hemiparesis, headache, aphasia, dysarthria, diplopia,
and mental status change, the diagnosis of stroke is often not considered
during initial assessment of children who ultimately prove to have
sustained a stroke. Mean time to accurate diagnosis from onset of symptoms
has been found to be more than 35 hours.104..."
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