الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Pediatric stroke, though not common but it is a severe disease with potentially lifelong restrictions, the etiology of acute ischemic stroke in childhood is mostly multifactorial, better under-standing and development of practice guidelines improved the diagnosis and outcome of this disease.
Aim of the work: This study aimed to develop Egyptian clinical practice pediatric stroke management guidelines that suitable for all resources at different Egyptian hospitals.
Subjects and Methods Twenty six of Egyptian experts in the field of neurology in pediatrics were selected and invited to participate in this project. Two round Delphi techniques were applied to build up the consensus among the experts on the formulated guidelines, 75% agreement was used as cut off.
Results: The experts agreed on the following, the FAST tool is the commonest presenting symptom of stroke in pediatrics, the most common risk factors were thrombophilia, cardiac diseases followed by sickle cell disease and that MRI is the best neuroimaging to be ordered for a child with suspected stroke. In terms of treatment, the panel had agreement on supporting safety of anticoagulation use in AIS and on safety of aspirin use in prevention of stroke recurrence after exclusion of hemorrhagic stroke.
Conclusion: The present Delphi consensus process has supplied useful information on stroke diagnosis and management practice in a multicenter group of pediatric neurologists, influencing the development of a proposed local stroke guideline.