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Child with New Onset Hemiparesis

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Symptom-Based Approach to Pediatric Neurology

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Abstract

The causes for new onset hemiparesis in a child are broad and range from the benign (such as complex migraines) to acute neurological emergencies, including specifically stroke. Acute hemiparesis is the most common presentation for cerebrovascular disease in children. A careful history and physical examination may provide an alternative etiology for acute hemiparesis but often times, stroke remains on the differential. Thus, even though stroke mimics, such as complex migraines or seizures, occur more frequently than acute stroke, urgent evaluation is warranted especially as hyperacute therapies may be an option in children with acute stroke. This chapter reviews recommended evaluation, management, and prognosis of the child with new onset hemiparesis with a focus upon acute ischemic and hemorrhagic stroke.

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Authors and Affiliations

  1. Divisions of Critical Care Medicine and Pediatric Neurology, Department of Pediatrics, Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA

    Melissa G. Chung

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  1. Melissa G. Chung
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Correspondence to Melissa G. Chung .

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Editors and Affiliations

  1. Department of Pediatrics, University of Texas Health Science Center, San Antonio, TX, USA

    Deepak M. Kamat

  2. Pediatrics and Neurology, Central Michigan University Children’s Hospital of Michigan, Detroit, MI, USA

    Lalitha Sivaswamy

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Chung, M.G. (2022). Child with New Onset Hemiparesis. In: Kamat, D.M., Sivaswamy, L. (eds) Symptom-Based Approach to Pediatric Neurology . Springer, Cham. https://doi.org/10.1007/978-3-031-10494-7_22

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  • DOI: https://doi.org/10.1007/978-3-031-10494-7_22

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