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Published on: November 3, 2016
[Clinical multiplicity of cerebrovascular disorders in childhood]
I Georgiev1, V Bojinova, R Jotova
1Institut für Neurologie, Psychiatrie und Neurochirurgie, Medizinische Akademie Sofia.
Insights
Pediatric vascular brain diseases are common, with acute circulatory disturbances affecting 100 children. Congenital malformations and heart conditions are significant contributing factors to childhood strokes.
Area of Science:
- Neurology
- Pediatrics
- Vascular Medicine
Context:
- Vascular diseases of the nervous system in children are a significant concern.
- Understanding the spectrum and causes of these conditions is crucial for early diagnosis and intervention.
Purpose:
- To investigate the prevalence and types of vascular diseases affecting the nervous system in a cohort of children.
- To identify underlying causes, including congenital malformations and cardiac conditions.
- To assess the incidence of acute cerebrovascular events and associated neurological deficits like epilepsy.
Summary:
- A study of 107 children (aged 3-14) revealed acute disturbances of brain blood circulation in 100.
- Common diagnoses included transient ischemic attacks (37), brain ischemia (29), hemorrhages (22), venous thromboses (5), and spinal strokes (7).
- Congenital vascular malformations (30%) and heart diseases (11%) were identified as primary causes, with a notable rate of epileptic seizures.
Impact:
- Highlights the significant burden of pediatric cerebrovascular diseases.
- Emphasizes the role of congenital anomalies and cardiac issues in childhood strokes.
- Underscores the high incidence of epilepsy associated with acute stroke events in children.
Abstract:
A group of 107 children with vascular diseases of the nervous system aged 3-14 years have been studied. In 100 children of the study group acute disturbances of the brain blood circulation have been found, out of which 37 children were with transitory ischemic attacks; 29 were found to be with brain ischaemia; 22-with haemorrhages (7 cases with subarchnoidal, 9 cases with intracerebral and 6 cases with subarachnoidal-parenchimatose); 5 children had wenous thromboses; 7 children were with spinal strokes. In other 7 children we found the presence of Sturge-Weber syndrome. Congenital vascular malformations have been found in 32 children (30%), out of which 16 children (15%) with loops and stenosis of the extracranial segments of the internal carotid artery, and another 16 children (15%) with AV-malformations. Congenital and acquired heart diseases are found to be primary cause for the strokes in 12 children (11%). Considerable is the rate of the epileptic seizures in the acute stage of the strokes as well as of the residual epileptic syndromes.
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