Acute 'limited' magnetic resonance imaging in childhood stroke--an illustrative case

Emergency Radiology
C I MiteffR L Smith

Abstract

Paediatric stroke is a major cause of morbidity and death in children. There is often a delay in making the diagnosis because common differential diagnoses such as migraine and seizures need to be considered and quick access to imaging is difficult. Early recognition is increasingly important for early treatment and to improve outcomes. We present the case of a 4-year-old boy who presented to the Emergency Department with acute hemiparesis. To target the provisional diagnosis of an acute ischaemic stroke, we requested magnetic resonance imaging (MRI) limited to two sequences only: diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI). We were able to confirm the diagnosis of acute ischaemic stroke within 90 min of presentation to hospital.

References

Sep 6, 2000·Developmental Medicine and Child Neurology·V GanesanF J Kirkham
May 10, 2007·Pediatric Radiology·Dawn E SaundersWui Khean Chong
Sep 20, 2008·Stroke; a Journal of Cerebral Circulation·Mubeen F RafayGabrielle A Deveber
Jul 22, 2009·Pediatrics·Jayasri SrinivasanMark T Mackay
Mar 18, 2011·Developmental Neurorehabilitation·Jane GalvinMark T Mackay
Feb 22, 2012·Insights Into Imaging·Roberto GasparottiRoberto Liserre
Mar 25, 2014·Journal of the American College of Radiology : JACR·Aseem Sharma

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Citations

May 8, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marco DaverioMark T Mackay
Oct 24, 2017·Expert Review of Neurotherapeutics·Mark T MackayFranz E Babl
Jan 22, 2019·Stroke; a Journal of Cerebral Circulation·Laura L LehmanMark T Mackay

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