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Rudolph's PediatricsRudolph's Pediatrics

Section 29. Disorders of the Nervous System > 

Part 3. Acute Deterioration of Neurologic Function > 

Chapter 552. Stroke and Cerebrovascular Disease

Michael 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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