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Published on: April 21, 2017
Pediatric cerebrovascular diseases: report of 204 cases
1Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fu Dan University, Shanghai, China.
Insights
Pediatric cerebrovascular diseases, primarily caused by arteriovenous malformations and cavernomas, present with headaches and vomiting. Timely diagnosis and urgent treatment are crucial for affected children.
Area of Science:
- Neurology
- Pediatrics
- Epidemiology
Background:
- Pediatric cerebrovascular diseases (PCVDs) represent a significant neurological challenge in children.
- Understanding the epidemiology of PCVDs is essential for effective management and prevention strategies.
Purpose of the Study:
- To investigate the epidemiology of pediatric cerebrovascular diseases.
- To identify common etiologies and clinical manifestations in pediatric patients.
Main Methods:
- Retrospective review of clinical data from 204 pediatric patients (under 18) treated for cerebrovascular disease.
- Data collected from Huashan Hospital over a 13-year period.
Main Results:
- The mean age of affected children was 12.7 years, with a male-to-female ratio of 1.91:1.
- Common symptoms included headaches (70.6%) and vomiting (50.0%).
- Leading causes were arteriovenous malformations (42.2%) and cavernomas (16.2%), with 21% of cases having unknown etiology.
Conclusions:
- Huashan Hospital's data may be representative of PCVD epidemiology in southern China.
- PCVDs exhibit unique epidemiological characteristics in the pediatric population.
- Prompt diagnosis and urgent intervention are vital due to distinct pediatric clinical features.
Objective:
To investigate the epidemiology of pediatric cerebrovascular diseases.
Methods:
Retrospective review of clinical data for 204 pediatric patients under the age of 18 treated for cerebrovascular disease at Huashan Hospital within the past 13 years.
Results:
Mean age was 12.7 years and male-to-female ratio was 1.91:1. Onset of symptoms was acute or subacute in 73.5% (150/204). Main clinical manifestations include: headaches (70.6%), vomiting (50.0%), loss of consciousness (22.5%), convulsions (21.6%), and focal neurological deficits (13.2%). The most common etiologies were: arteriovenous malformations (42.2%; 86/204), cavernomas (16.2%; 33/204), aneurysms (8.8%; 18/204), and Moyamoya disease (5.9%; 12/204). The cause remained unknown in 21% (43/204).
Conclusions:
As the main neurological medical center in the southern part of China, the statistics of Huashan Hospital could be representative. The epidemiology of pediatric cerebrovascular diseases has its own specificity. Pediatric cerebrovascular disease must be diagnosed in a timely manner and treated urgently, according to the distinct clinical features of the pediatric patient.
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