{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:32:28Z","timestamp":1780331548764,"version":"3.54.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose<\/jats:title>\n            <jats:p>Pediatric stroke is a neurological emergency. Knowing the predictive clinical markers for childhood stroke will help in early diagnosis and patient management. This study aims to (1) evaluate patients admitted to the pediatric emergency department (PED) with acute neurological signs and\/or symptoms who underwent neuroimaging and (2) determine the clinical warning signs for the early recognition of stroke.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>One hundred one patients aged 1 month to 18 years who were admitted with stroke-related neurological signs and symptoms and underwent neuroimaging in the PED were retrospectively analyzed using the file record system. As a result of these imaging tests, the characteristics of patients with stroke and nonstroke were compared.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The mean age of the 92 included patients was 10.7 (SD, 4.5) years. Among the admission symptoms of the patients, a significant difference was observed only in terms of speech disorder, whereas a significant difference was found in the examination results for altered consciousness and dysarthria. The incidences of hemiplegia and hemiparesis were higher in the stroke group, but they were not statistically significant. The median duration of time from symptom onset to PED admission was 240 minutes (interquartile range, 30\u20131440 minutes). The mean time from PED admission to magnetic resonance imaging in the stroke group was 2.3 (SD, 0.7) hours, which was significantly shorter than for the nonstroke group (4.9 [SD, 1.2] hours, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Childhood stroke is a neurological emergency that requires a multidisciplinary approach. Early stroke diagnosis is vital for treatment and prognosis. With respect to sudden neurological deficits, particularly dysarthria, altered consciousness, hemiplegia, and hemiparesis, should alert clinicians to stroke. In addition, interdepartmental cooperation is essential both in the rapid recognition of stroke and the treatment and follow-up processes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002748","type":"journal-article","created":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T16:01:59Z","timestamp":1652716919000},"page":"578-581","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Is the Early Diagnosis of Pediatric Stroke Possible in the Emergency Department?"],"prefix":"10.1097","volume":"38","author":[{"given":"Raziye Merve","family":"Yarad\u0131lm\u0131\u015f","sequence":"first","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bet\u00fcl","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayta\u00e7","family":"G\u00f6ktu\u011f","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"G\u00fcng\u00f6r","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lknur","family":"Bodur","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammed Mustafa","family":"G\u00fcneylio\u011flu","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ergin","family":"Atasoy","sequence":"additional","affiliation":[{"name":"Pediatric Neurology, Dr Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"Aksoy","sequence":"additional","affiliation":[{"name":"Pediatric Neurology, Dr Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can Demir","family":"Karacan","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilden","family":"Tuygun","sequence":"additional","affiliation":[{"name":"Pediatric Emergency Care"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.pediatrneurol.2016.01.016","article-title":"Guidelines for urgent management of stroke in children","volume":"56","year":"2016","journal-title":"Pediatr 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Arterial ischemic stroke risk factors: the International Pediatric Stroke Study","volume":"69","year":"2011","journal-title":"Ann Neurol"},{"key":"bib12-20250504","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1007\/s11910-013-0422-8","article-title":"Arterial ischemic stroke in children: risk factors and etiologies","volume":"14","year":"2014","journal-title":"Curr Neurol Neurosci Rep"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002748","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:04:10Z","timestamp":1746381850000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,17]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000002748","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5,17]]}}}