Is the Early Diagnosis of Pediatric Stroke Possible in the Emergency Department? : Pediatric Emergency Care

Secondary Logo

Journal Logo

Original Articles

Is the Early Diagnosis of Pediatric Stroke Possible in the Emergency Department?

Yaradılmış, Raziye Merve MD; Öztürk, Betül MD; Göktuğ, Aytaç MD; Güngör, Ali MD; Bodur, İlknur MD; Güneylioğlu, Muhammed Mustafa MD; Atasoy, Ergin MD; Aksoy, Erhan MD; Karacan, Can Demir MD; Tuygun, Nilden MD

Author Information
Pediatric Emergency Care 38(11):p 578-581, November 2022. | DOI: 10.1097/PEC.0000000000002748


Background and Purpose 

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.


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.


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, 30–1440 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, P = 0.002).


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.

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

You can read the full text of this article if you:

Access through Ovid