Sosa MJ, Rendón MME, Ballesteros OJC

Idioma: Español
Referencias bibliográficas: 33
Paginas: 155-161
Archivo PDF: 108.50 Kb.

RESUMEN

Objetivo. Construir y validar una guía de diagnóstico basada en evidencias, aplicable a niños que debutan con déficit neurológico súbito secundario a infarto cerebral isquémico.
Desenlace. La guía desarrollada orienta al clínico acerca de la secuencia de estudios que se sugiere efectuar, de acuerdo con las causas generadoras de infarto en niños.
Evidencia. En base a una revisión de la literatura (1998 a 2007) obtenida de la base de datos Medline y Ovid, con preguntas sobre el tema, se clasificó el nivel de evidencia y el grado de recomendación de los incisos de la guía sugerida según la causa.
Consenso. Un grupo seleccionado de clínicos expertos evaluaron la pertinencia de los estudios recomendados en la guía, se les entregaron las publicaciones relevantes y se les solicitó calificar cada paso de la guía de acuerdo a la escala de Likert, pertinencia de los estudios indicados en la guía. El consenso se consideró como tal cuando 80% de los expertos aceptó cada uno de los pasos de la guía y la secuencia de éstos.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Schoenberg BS, Mellinger J, Devera G, Schoenberg MS. Cerebrovascular disease in infants and children: A study of incidence, clinical features, and survival. Neurology 1978; 28: 763-8.

2. Satoh S, Shirane R, Yoshimoto T. Clinical survey of ischemic cerebrovascular disease in children in a district of Japan. Stroke 1991; 22: 586-9.

3. Lanska MJ, Lanska DJ, Hortwitz SJ, Aram DM. Presentation clinical course and outcome of children stroke. Pediatr Neurol 1991; 7: 333-41.

4. Chabrier S, Husson B, Lasjunias P, Landrieu P, Tardieu M. Stroke in childhood: outcome and recurrence risk by mechanism in 59 patients. J Child Neurol 2000; 15: 290-5.

5. Mendoza LP, Conway EE. Cerebrovascular events in pediatric patients. Ped Ann 1998; 27: 665-74.

6. Nagaraja D, Verma A, Taly AB, Kumar VM, Jayakumar PN. Cerebrovascular disease in children. Acta Neurol Scand 1997; 96: 401-6.

7. Feder G, Eccles M, Grol R, Griffths CH, Grimshaw J. Using clinical guidelines. BMJ 1999; 318: 720-4.

8. Westmoreland D, Wesorick B, Hanson D, Wyngarden K. Consensual validation of clinical practice model practice guidelines. J Nurs Care Qual 2000; 14: 16-27.

9. Feinburg WM, Albers GW, Barnett HJM, Biller J, Caplan LR, Carter LP et al. Guidelines for the management of transient ischemic attacks from the Ad Hoc Committee on guidelines for the management of transient ischemic attacks of the stroke council of the American Heart Association. Circulation 1994; 89: 2950-65.

10. Council American Heart Association. Guidelines for the management of acute ischemic stroke A statement for health care Professionals for a special writing group of the stroke council. Circulation 1994; 90: 1588-61.

11. Hademenos GJ, Alberts MJ, Awad I, Mayberg M, Shepard T, Jagoada A et al. Advances in the genetics of cerebrovascular disease and stroke. Neurology 2001; 56: 997-1008.

12. de Veber G, Andrew M, Adams C, Bjornson B, Booth F, Bucley D et al. Cerebral sinovenous thrombosis in children. N Engl J Med 2001; 345: 417-23.

13. Kapral M, Silver F. Preventive health care, 1999 update 2. Echocardiography for the detection of a cardiac source of embolus in patients with stroke. Canadian task Force on Preventive Health Care.ctf@ctfphc.org

14. Hillis GS, Bloomfield P. Basic transthoracic echocardiography. BMJ 2005; 330: 1432-6.

15. Mas JL, Arquizan C, Lamy C, Zuber M, Cabanes L, Derumeaux G et al. Recurrent cerebrovascular events associated with patent Foramen Ovale, atrial septal aneurysm or both. N Engl Med 2001; 345(24): 1740-6.

16. Calamante F, Ganesan V, Kirkham FJ, Jan W, Chong WK, Gadian DG et al. AMR perfusion imaging in Moya Moya syndrome: Potential implications for clinical evaluation of occlusive cerebrovascular disease. AHA 2001; 32: 2810-16.

17. Schievink W. Currents concepts: spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001; 344: 898-906.

18. Ledfor DK. Immunologic aspects of vasculitis and cardiovascular disease. JAMA 1997; 278: 1962-71.

19. Joseph F, Scolding N. Cerebral vasculitis: a practical approach. Pract Neurol 2002; 2: 80-93.

20. Mohor JP. The arteriovenous malformation study group. Arteriovenous malformations of the brain in adults. N Engl J Med 1999; 340: 1812-18.

21. Quiñones HJ, Binder DK, Hemphill JC, Manley GT. Diagnosis of post-traumatic transverse sinus thrombosis with magnetic resonance imaging/magnetic resonance venography: Report of two cases. J Trauma 2004; 56: 201-4.

22. Manco-Johnson M. Disseminated intravascular coagulation and the other hypercoagulable syndromes. J Ped Hemato/Oncol 1994; 16: 11-23.

23. Levine S, Brey R. Neurological aspects of antiphospholipids antibody syndrome. Lupus 1996; 5: 347-53.

24. Moster ML. Coagulopathies and arterial stroke. J Neurol Opth 2003; 23: 63-71.

25. Osagian S, Stampfer M, Spiegleman D, Rimm E, Cutler J, Feldman H. Distribution of an factors associated with serum homocysteine levels in children: Child and adolescent trial for cardiovascular health. JAMA 1999; 281: 1189-96.

26. Griffin J, Kojima K, Banka C, Curtiss L, Fernández J. High density lipoprotein enhancement of anticoagulant activities of plasma protein S and activated protein C. J Clin Inv 1999; 103: 219-27.

27. Nowak G, Ulrike, Junker R, Hartmeier M, Koch H, Munchow N et al. Increased lipoprotein (a) is an important risk factor for venous thromboembolism in childhood. Circulation 1999; 100: 743-8.

28. Zeviani TM, Piantadosi VC. Mitochondrial disorders. Medicine 1999; 1: 59-72.

29. Margaglione M, Brancaccio V, Guiliani N, Dándrea G, Capucci G, Lannaccone L et al. Increased risk for venous thrombosis in carriers of the prothrombin G (right arrow) A 20210 gene cariant. Ann Inter Med 1998; 129: 89-93.

30. Rivkin MJ, Volpe JJ. Strokes in children. Ped Rev 1996; 17: 265-78.

31. Provenzale JM, Barboriak DP. Brain infarction in young adults: Etiology and imaging findings. AJR 1997; 169: 1161-8.

32. Williams LS, Garg BP, Cohen M, Fleck JD, Biller J. Subtypes of ischemic stroke in children and young adults. Neurology 1997; 49: 1541-5.

33. Baumer JH. Childhood arterial stroke (guideline review). Arch Dis Child Educ Pract 2004; 89(2): 50-3.