Cerebral infarct in children aged zero to fifteen years

Arquivos de Neuro-Psiquiatria

Thelma Ribeiro Noce²  Soraia Ramos Cabete Fábio²  José Ibiapina Siqueira Neto¹  Antônio Carlos Dos Santos²  Carolina Araújo Rodrigues Funayama² 

[1] ,Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto Ribeirão Preto SP ,Brasil

关键词: cerebrovascular disease;    cerebral infarct;    stroke;    children;    infants;    etiology;    doença vascular cerebral;    infarto cerebral;    criança;    lactente;    etiologia;   

DOI  :  10.1590/S0004-282X2004000100007

来源: SciELO

【 摘 要 】

Cerebral infarcts in children present peculiar characteristics either due to their diversity of causes or due to the unknown nature of the causes. The etiologies of cerebral infarct were reviewed in children from zero to 15 years old, attended at a tertiary hospital, in Ribeirão Preto (Brazil), from 1990 to 1997, adopting the modified Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria of classification; 1 - Atherosclerosis in large arteries; 2 - Cardioembolic; 3 - Occlusion of small vessels; 4 - Other etiologies; 5 - Undetermined cause. Thirty-nine children were included, 18 males and 21 females, aged 2 months to 15 years, mean age 5.67. The largest group, N=22 (56.4%), included children with ''other etiologies'', 7 of them aged under two years. The most common etiology was dehydration and septic shock leading to brain hypoperfusion and watershed infarcts. Nine (23%) children had ''Undetermined etiology'', 7 (17,9%) cardioembolic subtype and none had atherosclerosis. Laboratory improvement is needed for the large number of patients without a defined cause, and the high proportion of children with dehydration in the group with a determined cause emphasizes the need for preventive health actions among infants and children.

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