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20.04.2022 | Apoplex | CME

Arteriell ischämischer Schlaganfall im Kindes- und Jugendalter

Zeitkritischer Notfall in der Pädiatrie

verfasst von: PD Dr. med. L. Gerstl, I. Borggräfe, F. Heinen, M. Olivieri

Erschienen in: Monatsschrift Kinderheilkunde | Ausgabe 5/2022

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Zusammenfassung

Der arteriell ischämische Schlaganfall im Kindes- und Jugendalter gehört zu den zeitkritischsten pädiatrischen Notfällen, wird aber häufig erst mit prognostisch relevanter Zeitverzögerung diagnostiziert. Gründe sind geringe „Awareness“, die zuweilen unspezifische klinische Präsentation mit einer Breite an kritischen Differenzialdiagnosen und in der Fläche noch wenig verzahnte Akutversorgungsstrukturen. Die beim Erwachsenen etablierten Revaskularisationsstrategien zeigen auch beim Kind mögliche, z. T. spektakuläre Erfolge. Diese sind daher nach Möglichkeit auch betroffenen Kindern zur Verfügung zu stellen, auch wenn hier derzeit keine annähernd vergleichbare Evidenz vorliegt. Postakut ist die ätiologische Aufarbeitung aufgrund zu bedenkender Risikofaktoren komplex, muss aber das individuelle Risikoprofil mit Sekundärprophylaxe, Rezidivrisiko und Outcome präzise identifizieren. Die Langzeitbetreuung im multiprofessionellen, interdisziplinären Team muss die bio-psycho-sozialen Aspekte des Kindes in seiner jeweiligen Entwicklungsphase berücksichtigen.

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Titel: Arteriell ischämischer Schlaganfall im Kindes- und Jugendalter
Zeitkritischer Notfall in der Pädiatrie
verfasst von: PD Dr. med. L. Gerstl
I. Borggräfe
F. Heinen
M. Olivieri
Publikationsdatum: 20.04.2022
Verlag: Springer Medizin
Schlagwörter: Apoplex
Apoplex in der Pädiatrie
Erschienen in: Monatsschrift Kinderheilkunde / Ausgabe 5/2022
Print ISSN: 0026-9298
Elektronische ISSN: 1433-0474
DOI: https://doi.org/10.1007/s00112-022-01465-0

Springer Medizin

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