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[Cerebrovascular disease in children: II. Clinical aspects in 42 cases]
M V Moura-Ribeiro1, L S Ferreira, M A Montenegro
1Departamento de Neurologia, Faculdade de Ciências Médicas (FCM) da Universidade Estadual de São Paulo (UNICAMP), Brasil.
Insights
Pediatric cerebrovascular disease, primarily ischemic stroke, often affects the middle cerebral artery in young children. This can lead to seizures, motor disability, and lasting motor impairments.
Area of Science:
- Neurology
- Pediatrics
- Vascular Medicine
Context:
- Cerebrovascular disease in children presents unique challenges.
- A retrospective study analyzed pediatric cases over an 8-year period.
- Data was collected from patients treated at Hospital das Clínicas FCM-UNICAMP.
Purpose:
- To describe the clinical characteristics and outcomes of pediatric cerebrovascular disease.
- To identify common types, affected arteries, and presenting symptoms.
- To analyze long-term motor sequelae in affected children.
Summary:
- The study reviewed 42 children with cerebrovascular disease, with ischemic stroke being the most prevalent type.
- Early-onset symptoms included middle cerebral artery involvement, seizures, and motor deficits.
- Motor sequelae were the predominant long-term outcome observed in the follow-up.
Impact:
- Highlights the significant impact of ischemic stroke on pediatric neurological health.
- Informs clinical practice regarding the diagnosis and management of childhood cerebrovascular events.
- Emphasizes the need for focused rehabilitation strategies for motor impairments in children.
Abstract:
We report the findings recorded in 42 children suffering cerebrovascular disease and assisted at the Hospital das Clínicas FCM-UNICAMP, over a 8 years period (January 1990 until April 1998). The ischemic type was the most common, and involvement of the middle cerebral artery, sudden onset of clinical manifestation with seizures and motor disability were more common in early aged children. Motor sequelae predominated in the follow-up of these children.