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Suspected Stroke Clinical Pathway, Emergency Department – Risk Factors

Suspected Stroke Clinical Pathway — Emergency Department

Risk Factors for Pediatric Stroke

Cardiac
  • Congenital heart defects
  • Cardiomyopathy, endocarditis/myocarditis
  • Arrhythmia
  • Cardiac tumors
  • Cardiac surgery
Hematologic Disorders
and Coagulopathies
  • Disordered coagulation, congenital or acquired
  • Severe anemia, polycythemia, thrombocytosis
  • Sickle cell disease
  • Dehydration
  • Immune thrombocytopenia (ITP), Immune thrombocytopenia (TTP),
    Hemolytic uremic syndrome (HUS)
  • Oncologic disease
  • Disseminated intravascular coagulation
  • Pregnancy and the postpartum period
Vasculitis/Vasculopathies
  • Focal cerebral arteriopathy
  • Moyamoya
  • Dissection
  • Rheumatologic syndrome
Infection
  • Meningitis/encephalitis
  • Mastoiditis/otitis media
  • HIV, syphilis
  • Varicella
  • Tuberculosis
  • Systemic infection, Lemierre’s syndrome
Metabolic/Miscellaneous Mitochondrial encephalopathy with lactic acidosis and stroke-like episodes, etc.
Other Vascular
  • Vasospasm
    • e.g., reversible cerebral vasoconstriction syndrome (RCVS)
  • Migraine, complex
  • Hypertension
  • Vascular instrumentation
  • Fibromuscular dysplasia
  • Hereditary hemorrhagic telangiectasia
  • Sturge-Weber syndrome
Vascular Malformations
  • Arteriovenous malformation
  • Arteriovenous fistula
  • Cavernous malformation
  • Intracranial aneurysm
Trauma
Including non-accidental
  • Blunt and penetrating cervical trauma
  • Head trauma
Brain Tumor
  • Secondary hemorrhage, edema
  • Vascular compression
Drugs
  • Cocaine
  • Amphetamines
  • Oral contraceptives
  • L-asparaginase

Reference

Pediatric Stroke  

 

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