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01-04-2021 | Stroke | Educational Review

Hypertension and childhood stroke

Authors: Juan C. Kupferman, Marc B. Lande, Stella Stabouli, Dimitrios I. Zafeiriou, Steven G. Pavlakis

Published in: Pediatric Nephrology | Issue 4/2021

Abstract

Cerebrovascular disease (stroke) is one of the ten leading causes of death in children and adolescents. Multiple etiologies, from arteriopathies to prothrombic states, can cause stroke in youth. In adult stroke, hypertension has been shown to be the single most important modifiable risk factor. Although hypertension has not been strongly identified as a risk factor in childhood stroke to date, there is preliminary evidence that suggests that hypertension may also be associated with stroke in children. In this review, we summarize the literature that may link hypertension to stroke in the young. We have identified a series of barriers and limitations in the fields of pediatric hypertension and pediatric neurology that might explain why hypertension has been overlooked in childhood stroke. We suggest that hypertension may be a relevant risk factor that, alone or in combination with other multiple factors, contributes to the development of stroke in children. Currently, there are no consensus guidelines for the management of post-stroke hypertension in children. Thus, we recommend that blood pressure be assessed carefully in every child presenting with acute stroke in order to better understand the effects of hypertension in the development and the outcome of childhood stroke. We suggest a treatment algorithm to help practitioners manage hypertension after a stroke.

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Title: Hypertension and childhood stroke
Authors: Juan C. Kupferman
Marc B. Lande
Stella Stabouli
Dimitrios I. Zafeiriou
Steven G. Pavlakis
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Stroke
Stroke in Children
Hypertension
Hypertension
Cerebral Hemorrhage
Published in: Pediatric Nephrology / Issue 4/2021
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-020-04550-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Hypertension and childhood stroke

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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