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Stroke in Saudi children.

A Al-Sulaiman1, O Bademosi, H Ismail

  • 1Department of Neurology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia.

Journal of Child Neurology
|May 26, 1999
PubMed
Summary
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Pediatric stroke is uncommon in Saudi children, with ischemic strokes being most prevalent. Further research is needed to fully understand childhood stroke in the region.

Area of Science:

  • Neurology
  • Pediatrics
  • Epidemiology

Background:

  • Stroke in children is a significant concern, yet its incidence and characteristics in specific populations require further elucidation.
  • Understanding the clinical features and neuroimaging findings of pediatric stroke is crucial for diagnosis and management.

Purpose of the Study:

  • To report the clinical features and neuroimaging correlates of stroke in Saudi children.
  • To determine the incidence and types of stroke in the pediatric population at a tertiary care hospital in Saudi Arabia.

Main Methods:

  • Retrospective analysis of pediatric stroke cases over a 5-year period.
  • Review of clinical data, neuroimaging findings (CT scans, MRI), and etiological factors.
  • Calculation of annual stroke incidence in the pediatric population.

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Main Results:

  • 31 cases of stroke identified among 20,895 pediatric admissions, yielding an annual incidence of 29.7 per 100,000.
  • Ischemic strokes constituted 90% of cases, with a 2:1 male-to-female ratio.
  • Neuroimaging revealed abnormalities in 82% of CT scans and 91% of MRI scans; etiology remained undetermined in 65% of cases.

Conclusions:

  • Stroke is relatively uncommon in Saudi children, with ischemic stroke being the predominant type.
  • The study highlights the importance of neuroimaging in diagnosing pediatric stroke and the challenges in identifying etiological factors.
  • Further multicenter studies are recommended to provide a comprehensive understanding of childhood stroke in Saudi Arabia.