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Published on: April 21, 2017
Outcomes in children with hemorrhagic stroke
Warren D Lo1, Christine Hajek, Christopher Pappa
1Department of Neurology, The Ohio State University, OH, USA. warren.lo@nationwidechildrens.org
JAMA Neurology
|October 31, 2012
Summary
Childhood hemorrhagic stroke outcomes are better than in adults. Increasing hemorrhage volume predicts poorer neurological function and quality of life, while vascular anomalies correlate with better outcomes.
Area of Science:
- Pediatric Neurology
- Neurocritical Care
- Pediatric Stroke
Background:
- Childhood hemorrhagic stroke is less common than in adults, with distinct predictors of outcome.
- Understanding factors influencing outcomes in pediatric patients is crucial for effective management and prognosis.
Observation:
- A retrospective study of 59 pediatric non-traumatic hemorrhage cases was conducted.
- Outcomes were assessed via neurological function, quality of life, and caregiver stress in survivors.
Findings:
- Hemorrhage volume significantly predicted poorer neurological outcomes and quality of life.
- Intracranial vascular anomalies were associated with the best outcomes.
- Associated diagnoses strongly predicted quality-of-life scores, unlike adult studies where Glasgow Coma Scale score and hemorrhage location were key.
Implications:
- Childhood hemorrhagic stroke has a lower mortality rate than in adults.
- Survivors often experience mild to moderate neurological deficits, impacting school and physical functioning.
- Hemorrhage volume and associated diagnoses are critical prognostic indicators in pediatric hemorrhagic stroke.
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