儿童和青年卒中虽少见,一旦发病则属严重。临床实践中应区别是在系统性疾病基础上发生的,还是只涉及颅内循环的。于区分有无颅内出血之后,可更进一步缩小鉴別诊断范围,并决定该不该立即作血管造影。治疗取决于基础情况、癫痫发作、颅内压增高或蛛网膜下腔出血等。预后估计困难,很大程度上根据个体情况而定。 Stroke in children and youth, although rare, is serious when it occurs. In clinical practice, the difference should be based on systemic disease, or only related to intracranial circulation. After differentiating between intracranial hemorrhage, the range of differential diagnosis can be further narrowed down and the decision should not be made immediately for angiography. Treatment depends on the basics, seizures, increased intracranial pressure or subarachnoid hemorrhage. Prognosis is difficult to estimate, to a large extent based on individual circumstances.