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in children with stroke, may also contribute to ischemic damage and should be
controlled with antipyretics.
TABLE 97.6
STUDIES TO CONSIDER IN THE EVALUATION OF THE CHILD
WITH ACUTE STROKE
Brain imaging
Computed tomography (noncontrast)
Magnetic resonance imaging
Angiography (standard or magnetic resonance)
Cardiac
Electrocardiogram
Echocardiogram
Hematologic
Complete blood cell count
Prothrombin and partial thromboplastin times
Fibrinogen
Erythrocyte sedimentation rate
Hemoglobin electrophoresis
Protein C and S quantification
Antithrombin III level
Chemistry
Blood urea nitrogen
Cholesterol and triglycerides
Hepatic transaminases
Serum amino acids
Urine organic acids
Toxicology screen
Lactate
Lumbar puncture
In consultation with a pediatric hematologist, anticoagulation therapy should be
strongly considered, once hemorrhagic stroke is excluded. Current pediatric