Question 2: Neurological complications of diagnostic cerebral catheter angiography in children

Scenario An 8-year-old boy is currently an inpatient in your paediatric unit having had a sudden onset of left sided weakness after a roller-coaster ride. Brain MRI has shown this to be due to a right-sided pontine infarct; brain and neck magnetic resonance angiography (MRA) were normal. Assessment has not identified any risk factors for arterial ischaemic stroke (AIS). Transfer has been arranged to the tertiary centre, where the paediatric neurologists are planning to request diagnostic catheter cerebral angiography (CA) to exclude vertebral artery dissection. The child's parents are apprehensive about this and would like to know the risks of this procedure, especially as they have heard these potentially include neurological complications. Structured clinical question In a child with suspected cerebral arteriopathy (patient) undergoing diagnostic catheter angiography (intervention), what is the risk of neurological complications (outcome)? Search strategy and outcome Using the PubMed, Medline...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: ADC Archimedes, Neuroimaging, Neurological injury, Stroke, Child and adolescent psychiatry (paedatrics), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma, Injury Source Type: research