Cerebrovascular disease in pediatric patients

Arquivos de Neuro-Psiquiatria

Newra Tellechea Rotta¹  Alexandre Rodrigues Da Silva¹  Flora Luciana Figueira Da Silva¹  Lygia Ohlweiler¹  Eraldo Belarmino Jr¹  Valéria Raimundo Fonteles¹  Josiane Ranzan¹  Orlando Javier Ramos Rodriguez¹  Régis Osório Martins¹ 

[1] ,Universidade Federal do Rio Grande do Sul Hospital de Clínicas de Porto Alegre Pediatric Neurology UnitPorto Alegre RS ,Brazil

关键词: cerebrovascular disease;    stroke;    children;    doença cerebrovascular aguda;    infância;    AVC isquêmico;   

DOI  :  10.1590/S0004-282X2002000600013

来源: SciELO

【 摘 要 】

Although rare in childhood, stroke may have a serious impact when it happens in this stage of life. Also, it may be the first sign of a systemic disease. We report 12 cases of patients with stroke treated in the Neuropediatrics Unit of Hospital de Clínicas de Porto Alegre (HCPA) from March 1997 to March 2000. All patients, from term infants to 12-year-old children hospitalized in the Pediatrics Unit of HCPA, had clinical suspicion of stroke, which was later confirmed by radiological studies. Patient follow up ranged from 1 to 6 years (mean = 3.4 years). Presenting symptoms were hemiparesis in 9 patients, seizures in 7, deviation of labial commissure in 3, and loss of consciousness in 1. The increase in the number of cases of childhood stroke identified and later confirmed by noninvasive methods had helped in the determination of different ethiologies of stroke: the most frequent being hematologic, cardiac and genetic diseases. However, our study included 6 newborns with stroke whose ethiology was not identified. Seven children with seizures received phenobarbital. Six term infants had neonatal seizures secondary to stroke and restricted to the first 72 hours of life.

【 授权许可】

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