Acute Large Vessel Ischemic Stroke in Patients With COVID-19-Related Multisystem Inflammatory Syndrome.

Acute Large Vessel Ischemic Stroke in Patients With COVID-19-Related Multisystem Inflammatory Syndrome.
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DOI:
10.1016/j.pediatrneurol.2021.09.013
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发表时间:
2022-01
影响因子:
3.8
通讯作者:
Dafer RM
Dafer RM
中科院分区:
医学3区
文献类型:
--
作者:
Chang J;Bulwa Z;Breit H;Cherian LJ;Conners JJ;Song SY;Dafer RM

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急性缺血性中风(AIS)在儿童中很少见,而且诊断常常被延误。儿童多系统炎症综合征(MIS-C)可能发生神经系统受累,但 MIS-C 患者发生 AIS 的病例报道很少。我们的两名 AIS 患者在最近暴露于 SARS-CoV-2 感染的既往健康青少年中出现大血管闭塞性疾病。两名患者随后均被诊断患有 MIS-C 并接受治疗。在这里,我们讨论他们的治疗过程和临床反应。早期识别和诊断 MIS-C 儿童伴大血管闭塞的 AIS 对于提供所有治疗方案以改善临床结果至关重要。
Acute ischemic stroke (AIS) is rare in children, and diagnosis is often delayed. Neurological involvement may occur in multisystem inflammatory syndrome in children (MIS-C), but very few cases of AIS in patients with MIS-C have been reported. We two patients with AIS presenting with large vessel occlusive disease in previously healthy adolescents recently exposed to SARS-CoV-2 infection. Both patients were subsequently diagnosed with and treated for MIS-C. Here, we discuss the course of their treatments and clinical responses. Early recognition and diagnosis of AIS with large vessel occlusion in children with MIS-C is critical to make available all treatment options to improve clinical outcomes.
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