Article Text

Download PDFPDF
Fifteen-minute consultation: A structured approach to the management of stroke in a child
  1. Ailva O'Reilly1,
  2. Gary McCullagh2
  1. 1 Paediatric Neurology, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  2. 2 Paediatric Neurology, Royal Manchester Children's Hospital, Manchester, UK
  1. Correspondence to Dr Ailva O'Reilly, Paediatric Neurology, Birmingham Children's Hospital NHS Foundation Trust, Birmingham B4 6NH, UK; ailva.oreilly{at}


Childhood stroke is a rare but important diagnosis. Even though most children with stroke are ultimately cared for by specialist multidisciplinary paediatric neurology teams, their initial presentation will have been to a general paediatric admissions team. Assessing and managing children who present with stroke in the general paediatric setting can be challenging due to wide variation in its clinical features and underlying aetiologies. Despite the clarity provided by the Royal College of Paediatrics and Child Health recommendations which were published in 2017, many paediatricians still feel ill-prepared when assessing these high-risk patients. This article aims to provide an informative and structured approach to the assessment and management of children with stroke.

  • general paediatrics
  • paediatric practice
  • neurology

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors AO’R was responsible for the majority of the design, research and written content of this manuscript. GM has edited multiple drafts of the manuscript by revising and adding some sections.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.