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Published on: April 21, 2017
Neonatal stroke: a review of the current evidence on epidemiology, pathogenesis, diagnostics and therapeutic options
N E van der Aa1, M J N L Benders, F Groenendaal
1Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Insights
Neonatal stroke, encompassing perinatal arterial ischaemic stroke and cerebral sinovenous thrombosis, is a significant concern. Despite improved understanding of causes, effective therapeutic options for neonatal stroke remain limited, necessitating further research.
Area of Science:
- Neurology
- Pediatrics
- Neonatology
Background:
- Neonatal stroke, including perinatal arterial ischaemic stroke and cerebral sinovenous thrombosis, is a critical issue affecting newborns.
- This condition can lead to significant long-term neurological deficits.
Purpose of the Study:
- To review the current evidence on the epidemiology, pathogenesis, diagnostics, and therapeutic strategies for neonatal stroke.
- To highlight the unmet need for effective treatments.
Main Methods:
- Systematic review of existing literature on neonatal stroke.
- Analysis of data concerning incidence, causes, diagnostic methods, and treatment approaches.
Main Results:
- Epidemiological data and insights into pathogenesis have advanced.
- Current diagnostic tools provide a basis for identifying neonatal stroke.
- However, significant limitations exist in available therapeutic options.
Conclusions:
- While understanding of neonatal stroke mechanisms and risk factors has grown, therapeutic advancements are lacking.
- Given the high rate of neurological sequelae, developing effective treatments for neonatal stroke is a priority for future research.
Unlabelled:
Neonatal stroke, including perinatal arterial ischaemic stroke and cerebral sinovenous thrombosis, remains a serious problem in the neonate. This article reviews the current evidence on epidemiology, pathogenesis, diagnostics and therapeutic options.
Conclusion:
Although our understanding of the underlying mechanisms and possible risk factors has improved, little progress has been made towards therapeutic options. Considering the high incidence of neurological sequelae, the need for therapeutic options is high and should be the focus of future research.
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