Pediatric Stroke: Clinico-radiological Correlation

Abstract

Ensure a complete radiology form with clinical data. A hospital information system (HIS) is needed to be connected with the PACS. The step-wise imaging algorithm for pediatric stroke seen in figure 48 should be the diagnostic imaging paradigm with which radiologists and clinicians alike approach these patients. MRI is the initial modality of choice, including shortened stroke protocols (e.g. DWI, ADC, and SWI/T2*), followed by vascular imaging (MRA or MRV) according to the picture of clinical presentation to detect abnormalities which may underlie an identified stroke. Digital subtraction angiography (DSA) should be considered in children with negative MR& MRV & pathology of small distal artery is suspected. The development of an acute stroke team with a minimum of an emergency physician, a neurologist, and a neuroradiologist, with ongoing-targeted training for recognition, diagnosis, and treatment.