TY - JOUR T1 - Childhood stroke guidelines, a grey matter JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 206 LP - 207 DO - 10.1136/archdischild-2018-314986 VL - 104 IS - 2 AU - Ed Abrahamson AU - James Ross Y1 - 2019/02/01 UR - http://adc.bmj.com/content/104/2/206.abstract N2 - Management algorithms are a cornerstone of clinical guidelines, if applicable, directing the clinician through a variety of steps and options, dependent on the individual case. The end point of each arm of an algorithm is generally a definitive recommendation.The otherwise comprehensive and excellent Stroke in Childhood guidelines (Stroke Association/Royal College of Paediatrics and Child Health, May 2017)1 fail in this regard, in relation to arterial ischaemic stroke.While the narrative in section 6.2.1 describes criteria for treatment consideration in general, the algorithm states ‘thrombolysis may be considered if 2–8 years old, and could be considered if >8 years.’ The words ‘may’ and … ER -