Prospects for primary stroke prevention in children with sickle cell anaemia.

Abstract:

:This review will focus on the strengths and limitations associated with the current standard of care for primary prevention of ischaemic strokes in children with sickle cell anaemia (SCA) - transcranial Doppler ultrasound (TCD) screening followed by regular blood transfusion therapy when TCD measurement is above a threshold defined by a randomized clinical trial (RCT). The theoretical basis for potential alternative strategies for primary prevention of neurological injury in SCA is also discussed. These strategies will include, but will not be limited to: immunizations to prevent bacterial infections, particularly in low income countries; management of elevated blood pressure; and targeted strategies to increase baseline haemoglobin levels with therapies such as hyroxycarbamide or potentially definitive haematopoietic stem cell transplant.

journal_name

Br J Haematol

authors

Jordan LC,Casella JF,DeBaun MR

doi

10.1111/j.1365-2141.2011.09005.x

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

14-25

issue

1

eissn

0007-1048

issn

1365-2141

journal_volume

157

pub_type

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