20Mar 2017

ACUTE STROKE IN CHILDREN: AN OVERVIEW.

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Objective: The aim of this study was to delineate the different characteristics of stroke in children and their outcome. Method: Clinically diagnosed stroke in children patients underwent general, full neurological examination and radiological investigation with evaluation of severity by pediatric National institute of health scale of stroke (NIHSS) and outcome disability by using Modified Rankin Scale for children (mRS). Results: The study was conducted on 60 patients with mean age ± standard deviation was (5.98 ± 5.65), median age 3.5 (1-18), 32 (53.3%) of them were male and 28 (46.7%) were female. Most of patients (83.3%) arrived to hospital after 12 hours from the stroke onset. Etiologically, 12 (20%) patients had congenital heart disease, 8 (13.3%) had hemorrhagic diseases, while 23 (38.3%) were cryptogenic. Ischemic stroke represent 83.3% of all patients. MRI brain imaging had better evaluation in patients with hemorrhagic stroke (2 of 6 patients (33.3%) revealed underlying pathology) rather than ischemic ones (only 2 of 44 ischemic stroke patients (4.5%) showed hemorrhagic transformation in one case and vascular anomaly in the other). Twenty (33.3%) patients had mild severity using pediatric NIHSS on admission, 35 (58.3%) were mild to moderate, 3 (5.0%) were sever and 2 (3.3%) were very sever. mRS for children after three months revealed 3 patients (5.0%) with complete recovery, 14 (23.3%) had no significant disabilities despite symptoms in clinical examination, 18 (30.0%) had slight disability, 10 (16.7%) with moderate disability, 2 (3.3%) had moderately severe disability while 13 (21.7%) patients died. There was significant weak positive correlation between severity of stroke at the onset and disability outcome three months later. Conclusion: Etiological factors in childhood are quite different from those present in adulthood. Despite a careful investigation, some causes of stroke in children remain unidentified. MRI brain imaging is modality of choice in patients with hemorrhagic stroke.

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[Shady Khalil El Rashedy, Mohammed Galal El-Khateeb, Abd El-Halim El Tantawy Bdeir, Khaled Fathy Abd El-Azez and Ibrahim Elmenshawi. (2017); ACUTE STROKE IN CHILDREN: AN OVERVIEW. Int. J. of Adv. Res. 5 (Mar). 50-55] (ISSN 2320-5407). www.journalijar.com

Shady Khalil El Rashedy

DOI:

Article DOI: 10.21474/IJAR01/3483      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3483

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