Childhood stroke clinical guidelines

In children, stroke is among the top ten causes of death, is more common than brain tumours and is the leading cause of hemiplegic cerebral palsy in term-born infants. Like adults ‘time is brain’ for children who suffer a stroke. More than half of survivors have long-term disabilities, resulting in a need for high-quality, specialist sub-acute medical and rehabilitation services. Contrary to commonly held views, children do not recover better than adults.

Diagnosis and acute management

Previous guidelines developed in 2017 by the Australian Childhood Stroke Advisory Committee are deemed to require updating to incorporate new evidence along with work undertaken by the Australian Paediatric Acute Code Stroke (PACS) study.

Information will be updated here in due course.

Subacute rehabilitation

The Guideline for the subacute management of childhood stroke – 2019 was developed by the Victorian Subacute Childhood Stroke Advisory Committee, comprising clinical and research experts representing the Victorian Paediatric Rehabilitation Service, tertiary paediatric hospitals and researchers in Victoria. It is aimed at hospital and community-based healthcare professionals involved in the rehabilitative management of children after stroke, including occupational therapists, physiotherapists, education consultants, clinical psychologists, clinical neuropsychologists, speech pathologists, social workers, dietitians, music therapists, doctors, and nurses.

The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline 2019 (PDF)

Victorian Subacute Childhood Stroke Guidelines Appendices (PDF)