Arterial Ischemic Stroke | Diagnosis & Treatment

How is hemorrhagic stroke diagnosed?

Evaluation of hemorrhagic stroke usually begins in the emergency room. Stroke specialists will conduct a rapid physical examination and the care team will work to quickly confirm and locate the cause of the stroke through imaging tests. These can include:

All of these tests are painless and noninvasive, although some might require placement of an intravenous (IV) line to deliver agents needed for certain types of imaging. Since MRI requires a child to hold still inside a scanner, very young children may need sedation. In some cases, the physician may recommend blood tests to help identify any underlying disorders that might cause bleeding.

How is hemorrhagic stroke treated?

Treatment of hemorrhagic stroke depends on the cause. If the stroke was the result of a blood vessel abnormality, such as a cavernous malformation, arteriovenous malformation or aneurysm, the physician will likely repair the abnormality to stem bleeding and prevent future strokes. In cases where a clotting disorder is responsible for the stroke, clinicians will treat the underlying problem to prevent future bleeds.

Regardless of the cause, most children who experience hemorrhagic strokes require long-term care to address the consequences of the stroke. Your child’s stroke team will create a comprehensive rehabilitation plan, which can involve physical, occupational, vision or speech and language therapies or a combination of these.