Stroke ischemico e terapie iperacute nel bambino e nell’adolescente visti da un Pronto Soccorso pediatrico e da uno dell’adulto

Abstract

The use of hyperacute therapies, such as thrombolysis and mechanical thrombectomy, has revolutionized the care of adult patients with arterial ischemic stroke. In this context, one of the most effective Diagnostic Therapeutic Assistance Pathways (PDTAs) in Italy, and particularly in the Friuli Venezia Giulia Region, describes the care received by the patient with cerebral stroke, who for epidemiological reasons is an adult patient. Drawn up in 2015 and operational in Trieste and Udine, it represented a fundamental step forward in medicine as it dramatically reduced mortality and disability in stroke patients. The effectiveness reported in the literature of the use of hyperacute therapies in children with ischemic stroke requires reflection on the management of such children so that they can take advantage of these therapeutic possibilities. The paper presents 3 cases with a brief comment each that suggests some reflections on stroke treatment in paediatrics and on the possibilities of treatment similar to that of adults.